Suicidal behavior after severe trauma. Part 1: PTSD diagnoses, psychiatric comorbidity, and assessments of suicidal behavior
Suicidal behavior after severe trauma. Part 1: PTSD diagnoses, psychiatric comorbidity, and assessments of suicidal behavior
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DOI：
10.1023/a:1024461216994
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发表时间：
1998-01-01
影响因子：
3.3
通讯作者：
Sundbom, E
中科院分区：
文献类型：
--
作者：
Ferrada-Noli, M;Asberg, M;Sundbom, E
该研究包括来自不同国家的149名难民，他们报告遭受严重创伤，被转诊进行精神病诊断和自杀风险评估，报告的压力源包括个人经历和/或被迫目睹战斗暴行（包括在乌尔班地区的爆炸或导弹撞击）、监禁（包括隔离）、酷刑和造成痛苦、性暴力、目睹他人自杀以及即决处决和/或假处决。在所有病例中，79%被诊断为创伤后应激障碍（PTSD），16%被诊断为其他精神疾病，5%没有精神病理学。主要PTSD诊断的难民中自杀行为的患病率显著高于其余PTSD患者抑郁症合并症报告自杀想法的频率较高; PTSD非抑郁症患者表现出自杀企图的频率增加。
The study comprises 149 refugees from various countries, reporting exposure to severe traumata, who were referred for psychiatric diagnosis and assessment of suicide risk, The stressors reported comprised both personal experience of and/or forced witnessing of combat atrocities (including explosions or missile impacts in ur ban areas), imprisonment (including isolation), torture and inflicted pain, sexual violence, witnessing others' suicide, and of summary and/or mock executions. Posttraumatic stress disorder (PTSD) was diagnosed in 79% of all cases, other psychiatric illness in 16% and no mental pathology in 5%. The prevalence of suicidal behavior was significantly greater among refugees with principal PTSD diagnoses than among the remainder PTSD patients with depression comorbidity reported higher frequency of suicidal thoughts; PTSD nondepressive patients manifested increased frequency of suicide attempts.