Axis I and axis II disorders as predictors of prospective suicide attempts: findings from the collaborative longitudinal personality disorders study.
Axis I and axis II disorders as predictors of prospective suicide attempts: findings from the collaborative longitudinal personality disorders study.
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DOI：
10.1037/0021-843x.113.2.301
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发表时间：
2003-08
影响因子：
4.6
通讯作者：
S. Yen;T. Shea;M. Pagano;C. Sanislow;C. Grilo;T. McGlashan;A. Skodol;D. Bender;M. Zanarini;J. Gunderson;L. Morey
中科院分区：
文献类型：
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作者：
S. Yen;T. Shea;M. Pagano;C. Sanislow;C. Grilo;T. McGlashan;A. Skodol;D. Bender;M. Zanarini;J. Gunderson;L. Morey
本研究探讨了人格障碍（PD）样本中前瞻性观察到的自杀企图的诊断预测因素。在2年的随访中，58名参与者（9%）报告至少有1次明确的自杀企图。检查的预测因子包括4种PD诊断和选定的轴I诊断（基线和病程）。多变量逻辑回归分析表明，基线边缘型人格障碍（BPD）和药物使用障碍显着预测未来的自杀企图。控制基线BPD诊断，比例风险分析显示，在重度抑郁症（MDD）和物质使用障碍的过程中，在尝试前一个月的恶化也是显着的预测因子。因此，在诊断为PD的个体中。轴I条件的恶化，特别是MDD和物质使用，增加了自杀企图的风险。
This study examined diagnostic predictors of prospectively observed suicide attempts in a personality disorder (PD) sample. During 2 years of follow-up, 58 participants (9%) reported at least 1 definitive suicide attempt. Predictors that were examined include 4 PD diagnoses and selected Axis I diagnoses (baseline and course). Multivariate logistic regression analyses indicated that baseline borderline personality disorder (BPD) and drug use disorders significantly predicted prospective suicide attempts. Controlling for baseline BPD diagnosis, proportional hazards analyses showed that worsening in the course of major depressive disorder (MDD) and of substance use disorders in the month preceding the attempt were also significant predictors. Therefore, among individuals diagnosed with PDs. exacerbation of Axis I conditions, particularly MDD and substance use, heightens risk for a suicide attempt.