Psychopathy, antisocial personality, and suicide risk.
Psychopathy, antisocial personality, and suicide risk.
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DOI：
10.1037//0021-843x.110.3.462
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发表时间：
2001-08
影响因子：
4.6
通讯作者：
E. Verona;C. Patrick;T. Joiner
中科院分区：
文献类型：
--
作者：
E. Verona;C. Patrick;T. Joiner
H. Cleckley (1976) 认为，精神病患者对自杀相对免疫，但有大量证据表明反社会越轨行为与自杀行为之间存在关系。这项研究首次明确研究了 R. D. Hare (1991) 精神病检查表 - 修订版 (PCL-R) 所定义的精神病患者的自杀史。使用 PCL-R、DSM-III-R 和 DSM-IV 标准（美国精神病学协会，1987 年、1994 年）对男性监狱囚犯 (N = 313) 进行反社会人格障碍 (APD) 评估，并完成 A. Tellegen (1982) 多维人格问卷 (MPQ)。先前是否存在自杀企图是根据结构化访谈和监狱档案记录进行编码的。自杀史与 PCL-R 因子 2（反映慢性反社会偏差）和 APD 诊断显着相关，但与 PCL-R 因子 1 无关，后者包含精神病的情感和人际特征。研究发现，消极情绪和低约束的高阶 MPQ 维度可以解释自杀企图历史和反社会越轨行为之间的关系，表明气质特征可能代表两者的共同脆弱性。
H. Cleckley (1976) maintained that psychopaths are relatively immune to suicide, but substantial evidence exists for a relationship between antisocial deviance and suicidal acts. This study was the first to explicitly examine suicidal history among psychopathic individuals as defined by R. D. Hare's (1991) Psychopathy Checklist--Revised (PCL-R). Male prison inmates (N = 313) were assessed using the PCL-R and DSM-III-R and DSM-IV criteria (American Psychiatric Association, 1987, 1994) for antisocial personality disorder (APD), and they completed A. Tellegen's (1982) Multidimensional Personality Questionnaire (MPQ). Presence or absence of prior suicide attempts was coded from structured interview and prison file records. Suicide history was significantly related to PCL-R Factor 2 (which reflects chronic antisocial deviance) and to APD diagnosis but was unrelated to PCL-R Factor 1, which encompasses affective and interpersonal features of psychopathy. Higher order MPQ dimensions of Negative Emotionality and low Constraint were found to account for the relationship between history of suicidal attempts and antisocial deviance, indicating that temperament traits may represent a common vulnerability for both.