Apples to oranges?: a direct comparison between suicide attempters and suicide completers.
Apples to oranges?: a direct comparison between suicide attempters and suicide completers.
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DOI：
10.1016/j.jad.2009.10.020
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发表时间：
2010-07
影响因子：
6.6
通讯作者：
Stockmeier, Craig A.
中科院分区：
文献类型：
--
作者：
Dejong, Timothy M.;Overholser, James C.;Stockmeier, Craig A.
自杀未遂者和自杀者可能代表着不同但重叠的痛苦个体群体。尽管抑郁症与自杀风险的增加有关，但抑郁症的存在可能不会区分自杀未遂者和既得者。本研究比较了自杀未遂者和自杀完成者在抑郁症状、自杀相关变量的存在和应激性生活事件方面的差异。本研究试图找出50名自杀未遂者和50名既得者之间的主要区别，他们都在自杀行为发生时被诊断为严重抑郁障碍。自杀未遂者和自杀完成者的家人告密者参加了一次彻底的心理社会评估。为了最大限度地与完成者进行比较，自杀未遂者根据其企图的致命性进行了细分。自杀未遂者和自杀者在抑郁症状的大多数衡量标准上是相似的。然而，自杀完成者在自杀行为之前更有可能使用酒精或药物，他们更有可能留下遗书。自杀完成者更有可能遇到严重的工作压力和经济问题。目前的发现记录了自杀未遂者和自杀既成者之间的几个相似和不同之处。未来的研究可能有助于澄清关键的警告信号，这些信号反映了被诊断为严重抑郁症的成年人完全自杀的风险。
Suicide attempters and completers may represent different but overlapping groups of distressed individuals. Although depression is related to an increased risk of suicide, the presence of depression may not discriminate suicide attempters from completers. The present study compared suicide attempters and suicide completers on symptoms of depression, the presence of suicide-related variables and stressful life events. The present study sought to identify the key differences between 50 suicide attempters and 50 completers, all diagnosed with a Major Depressive Disorder at the time of their suicidal act. Suicide attempters and family member informants of suicide completers participated in a thorough psychosocial evaluation. To maximize comparisons with completers, suicide attempters were subclassifed based on the lethality of their attempt. Suicide attempters and completers were similar on most measures of depressive symptoms. However, suicide completers were significantly more likely to use alcohol or drugs prior to their suicidal act and they were more likely to leave a suicide note. Suicide completers were significantly more likely to have encountered significant job stress and financial problems. The present findings have documented several similarities and differences between suicide attempters and suicide completers. Future research may help to clarify the key warning signs that reflect the risk of completed suicide in adults who have been diagnosed with a Major Depressive Disorder.
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影响因子：
3.2
作者：
Dejong, Timothy M.;Overholser, James C.
通讯作者：
Overholser, James C.
影响因子：
5.9
作者：
Brown, GK;Beck, AT;Grisham, JR
通讯作者：
Grisham, JR
影响因子：
6.7
作者：
Conner, KR;Conwell, Y;Duberstein, PR
通讯作者：
Duberstein, PR
影响因子：
3.8
作者：
LEENAARS, AA;LESTER, D;BREVARD, A
通讯作者：
BREVARD, A
影响因子：
3.2
作者：
Beautrais, AL
通讯作者：
Beautrais, AL