CORRELATION OF SUICIDAL AND VIOLENT BEHAVIOR IN DIFFERENT DIAGNOSTIC CATEGORIES IN HOSPITALIZED ADOLESCENT PATIENTS
CORRELATION OF SUICIDAL AND VIOLENT BEHAVIOR IN DIFFERENT DIAGNOSTIC CATEGORIES IN HOSPITALIZED ADOLESCENT PATIENTS
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DOI：
10.1097/00004583-199507000-00015
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发表时间：
1995-07-01
影响因子：
13.3
通讯作者：
TYANO, S
中科院分区：
文献类型：
--
作者：
APTER, A;GOTHELF, D;TYANO, S
目的：确定不同诊断类别中攻击性和抑郁在青少年自杀中的相对重要性。方法：使用半结构化诊断工具，学龄儿童情感障碍和精神分裂症的时间表，对163名连续入院的青少年精神科住院患者进行了评估。根据该评估计算抑郁症、自杀行为和暴力行为的评分。结果：神经性厌食症和品行障碍患者的自杀行为得分最高。此外，品行障碍患者比重性抑郁症患者更暴力，暴力行为量表的得分与自杀症状相关，但与抑郁症状无关。结论：在某些类型的自杀行为中，攻击性可能与抑郁一样重要。因此，在青少年时期，似乎至少有两种类型的自杀行为：一种是希望死亡（抑郁），另一种是希望暂时不在这里（冲动控制）。第一种类型的自杀行为表现为明显抑郁症的特征，如重度抑郁症和神经性厌食症，第二种类型的自杀行为表现为冲动控制障碍，如行为障碍。
Objective: To determine the relative importance of aggression and depression in adolescent suicide within different diagnostic categories. Method: One hundred sixty-three consecutive admissions to an adolescent psychiatric inpatient unit were assessed using a semistructured diagnostic instrument, the Schedule for Affective Disorders and Schizophrenia for School-Age Children. Scores for depression, suicidal behaviors, and violent behaviors were calculated from this assessment. Results: Anorexia nervosa and conduct disorder patients had the highest suicidal behavior scores. In addition, patients with conduct disorder were significantly more violent than patients with major depressive disorder, and scores on the Violent Behavior Scale correlated with suicidal symptoms but not with depressive symptoms. Conclusion: Aggression may be as important in some kinds of suicidal behaviors as is depression. Thus it seems that there are hypothetically at least two types of suicidal behaviors during adolescence: a wish to die (depression) and a wish not to be here for a time (impulse control). The first type of suicidal behavior characterizes that seen in disorders with prominent depression such as major depressive disorder and anorexia nervosa, and the second characterizes disorders of impulse control such as conduct disorder.