Severity of personality disorders and suicide attempt
Severity of personality disorders and suicide attempt
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DOI：
10.1111/j.1600-0447.2008.01284.x
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发表时间：
2009-02-01
影响因子：
6.7
通讯作者：
de Leon, J.
中科院分区：
文献类型：
--
作者：
Blasco-Fontecilla, H.;Baca-Garcia, E.;de Leon, J.
人格障碍（pd）的严重程度可能比特定pd的诊断更有助于估计自杀风险。我们假设患有严重PD的自杀企图者会有更多的企图和更严重/致命的企图。对446名自杀未遂者进行了评估。PD诊断采用国际人格障碍问卷-筛选问卷。采用Tyrer和Johnson分级法对PD进行分级（无PD、单纯性PD、弥漫性PD）。用自杀意图量表、风险-救援评定量表和致死评定量表测量自杀企图的严重程度/致命性。严重（弥漫性）PD患者的尝试次数多于其他组。在控制了年龄和性别之后，这种差异仅在年轻年龄组和女性中仍然显著。pd的严重程度与尝试的严重程度/致命性之间没有关系。患有严重PD的年轻女性尝试者倾向于重复尝试。然而，PD的严重程度与自杀企图的严重程度/致死率无关。
Severity of personality disorders (PDs) may be more useful in estimating suicide risk than the diagnosis of specific PDs. We hypothesized that suicide attempters with severe PD would present more attempts and attempts of greater severity/lethality.Four hundred and forty-six suicide attempters were assessed. PD diagnosis was made using the International Personality Disorder Questionnaire - Screening Questionnaire. PDs were classified using Tyrer and Johnson's classification of severity (no PD, simple PD, diffuse PD). Severity/lethality of attempts was measured with the Suicide Intent Scale, Risk-Rescue Rating Scale and Lethality Rating Scale.Attempters with severe (diffuse) PD had more attempts than the other groups. After controlling for age and gender, this difference remained significant only for the younger age group and women. There was no relationship between severity of PDs and severity/lethality of attempts.Younger female attempters with severe PD are prone to repeated attempts. However, the severity of PD was not related to the severity/lethality of suicide attempts.