Correlates of proximal premeditation among recently hospitalized suicide attempters
Correlates of proximal premeditation among recently hospitalized suicide attempters
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DOI：
10.1016/j.jad.2013.02.004
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发表时间：
2013-09-05
影响因子：
6.6
通讯作者：
Lee, Han-Joo
中科院分区：
文献类型：
--
作者：
Bagge, Courtney L.;Littlefield, Andrew K.;Lee, Han-Joo
背景资料：冲动性自杀企图（伊萨）的不同概念尚未得到系统研究，也没有对伊萨的标准评估。这种缺乏明确性阻碍了自杀学研究和知识的进步。目前的研究的目的是检查临床相关的伊萨（减少近端沉思，规划和决定采取行动）的不同方面，在不同的methods.Methods：参与者包括212个最近的自杀未遂者提出1级创伤医院。自杀意图量表和自杀企图的时间轴随访访谈被用来评估不同方面的伊萨和他们的协会与其他企图的特点，近端和远端的临床correlations.Results：一个很大比例的患者有伊萨使用方面的不同严重程度（范围从42% [沉思]到85% [决定]）。多变量分析揭示了特定伊萨方面与以下方面之间的独特关联：绝望和抑郁症状（沉思），对死亡的主观预期（规划）和急性负面生活事件局限性：有效的自我报告筛选措施被用来评估当前的精神病理学和未来的研究应包括结构化访谈，以评估诊断功能。结论：我们的研究结果表明，需要一个细粒度的方法来进一步了解伊萨结构。根据目前的研究结果，伊萨应该被认真考虑，因为临床医生的任务是确定某个特定的病人是否有自杀的危险。由爱思唯尔公司出版
Background: Different conceptualizations of an impulsive suicide attempt (ISA) have not been studied systematically and there is no standard assessment of an ISA. This lack of clarity hinders the advancement of suicidological research and knowledge. The aim of the current study was to examine clinical correlates of different facets of an ISA (reduced proximal contemplation, planning, and decision to act) across divergent methodologies.Methods: Participants included 212 recent suicide attempters presenting to a Level 1 trauma hospital. The Suicide Intent Scale and the Timeline Follow-Back Interview for suicide attempts were used to assess different facets of an ISA and their associations with other attempt characteristics, and proximal and distal clinical correlates.Results: A large percentage of patients had an ISA using facets of varying severity (ranging from 42% [contemplation] to 85% [decision]). Multivariate analyses revealed unique associations between a particular ISA facet and the following: hopelessness and depressive symptoms (contemplation), subjective expectation of fatality (planning), and acute negative life events (decision).Limitations: Validated self-report screening measures were used to assess current psychopathology and future studies should include structured interviews to assess diagnostic features.Conclusions: Our results suggest that a fine-grained approach is needed for furthering our understanding of the ISA construct. In light of the current findings, ISA should be seriously considered given clinicians' task of determining whether a particular patient is at imminent risk for suicide. Published by Elsevier B.V.