Clinical correlates of self-mutilation among psychiatric inpatients.
Clinical correlates of self-mutilation among psychiatric inpatients.
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DOI：
10.3109/10401239309148923
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发表时间：
1993-03-01
期刊：
影响因子：
--
通讯作者：
Pfohl, B
中科院分区：
文献类型：
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作者：
Langbehn, D R;Pfohl, B
对一所大学精神病医院660名连续入院者的图表进行了检查。在排除那些精神发育迟滞的患者后，确定了32名自残患者和88名因自杀未遂而入院的患者。女性在切割者中所占比例明显偏高，但在年龄方面没有差异。大多数分析仅限于女性，其中27人是自残者，51人是非自残自杀者。致残者不太可能被诊断为重度抑郁症或适应障碍，但更有可能有药物滥用史，并接受轴II诊断。残害行为通常是重复的。最常见的形式是手臂和手腕的表面切割。终生性虐待或身体虐待的报告在残害者中更为常见。残害者也有频繁的自杀企图的历史，与他们的残害行为不同，多次住院，并转移到州立医院进行长期护理。这些发现表明，慢性病程具有显著的发病率和相关特征，可能具有临床意义。
The charts of 660 consecutive admissions to a university psychiatric hospital were examined. After excluding those with mental retardation, 32 patients who had mutilated themselves and 88 patients admitted for unsuccessful suicide attempts were identified. Women were significantly overrepresented among the mutilators, but the groups did not differ with respect to age. Most analyses were restricted to women, of whom 27 were self-mutilators and 51 were nonmutilating suicide attempters. Mutilators were less likely to receive diagnoses of major depression or adjustment disorder but were more likely to have a history of substance abuse and receive Axis II diagnoses. The mutilative behavior was generally repetitive. The most common form was superficial cutting of the arms and wrists. Reports of lifetime sexual or physical abuse were more common among mutilators. Mutilators also had frequent histories of suicide attempts distinct from their mutilation behavior, multiple hospitalizations, and transfer to state hospitals for longer-term care. These findings suggest a chronic course with significant morbidity and associated features which may be of clinical significance.