PERSONALITY-DISORDER, TENDENCY TO IMPULSIVE VIOLENCE, AND SUICIDAL-BEHAVIOR IN ADOLESCENTS

PERSONALITY-DISORDER, TENDENCY TO IMPULSIVE VIOLENCE, AND SUICIDAL-BEHAVIOR IN ADOLESCENTS
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DOI:
10.1097/00004583-199301000-00010
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发表时间:
1993-01-01
影响因子:
13.3
通讯作者:
CONSTANTINE, D
CONSTANTINE, D
中科院分区:
医学1区
文献类型:
--
作者:
BRENT, DA;JOHNSON, B;CONSTANTINE, D

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对住院自杀未遂者(n=37)和非自杀精神对照组(n=29)的人格障碍的患病率和严重程度、攻击和攻击行为史以及其他冲动性暴力指标进行了比较。与对照组相比,尝试者更有可能表现出人格障碍或性格特征的证据,特别是那些边缘类型的人。与对照组相比,尝试者表现出更多的边缘症状,即使在移除与自杀有关的项目后也是如此。在终生攻击史、攻击行为史或冲动攻击倾向的自我报告测量方面,两组之间没有差异。那些有人格障碍的人更有可能之前做过尝试。青少年住院自杀未遂者中人格障碍的高患病率表明,与人格障碍相关的社会损害应被视为治疗的一个重要方面。
Inpatient suicide attempters (n = 37) were compared with never-suicidal psychiatric controls (n = 29) with respect to prevalence and severity of personality disorder, history of aggression and assaultive behavior, and other measures of impulsive violence. Attempters, compared with controls, were more likely to show evidence of personality disorder or trait, particularly those of the borderline type. Attempters showed greater number of borderline symptoms than did controls, even after removing the item relating to suicidality. There were no differences between the groups with respect to lifetime history of aggression, history of assaultive behavior, or self-report measures of a tendency to impulsive aggression. Those attempters with personality disorder were much more likely to have made a previous attempt. The apparently high prevalence of personality disorder among adolescent inpatient suicide attempters indicates that the social impairment associated with personality disorder be viewed as an important aspect of treatment.