Suominen K H, Isometsä E T, Henriksson M M, Ostamo A I, Lönnqvist J K
Department of Mental Health and Alcohol Research, National Public Health Institute, Helsinki, Finland.
Acta Psychiatr Scand. 2000 Aug;102(2):118-25. doi: 10.1034/j.1600-0447.2000.102002118.x.
The purpose of the present study was to compare clinical characteristics of suicide attempters with or without personality disorders.
A systematic sample (n = 114) of patients from consecutive cases of attempted suicide referred to general hospitals in Helsinki was interviewed and diagnosed according to DSM-III-R. Forty-six subjects with DSM-III-R personality disorders were identified and divided into clusters A (n = 4), B (n = 34) and C (n = 8). These subjects were compared with 65 suicide attempters without personality disorders in terms of clinical characteristics and treatment received.
Suicide attempters with personality disorders more often had a history of previous suicide attempts and lifetime psychiatric treatment than comparison subjects. However, suicide attempts did not differ in terms of suicide intent, hopelessness, lethality or impulsiveness between subjects with or without personality disorders.
Although suicidal behaviour is a more persistent feature among those with personality disorders, their clinical characteristics at the time of a suicide attempt may not differ from those without personality disorders.
本研究旨在比较有无人格障碍的自杀未遂者的临床特征。
对赫尔辛基综合医院连续收治的自杀未遂患者进行系统抽样（n = 114），并根据《精神疾病诊断与统计手册第三版修订版》（DSM-III-R）进行访谈和诊断。确定了46名符合DSM-III-R人格障碍标准的受试者，并将其分为A组（n = 4）、B组（n = 34）和C组（n = 8）。将这些受试者与65名无人格障碍的自杀未遂者在临床特征和接受的治疗方面进行比较。
与对照组相比，有人格障碍的自杀未遂者更常有着自杀未遂史和终生接受精神科治疗的经历。然而，有无人格障碍的受试者在自杀意图、绝望感、致死性或冲动性方面的自杀未遂情况并无差异。
虽然自杀行为在人格障碍患者中是更为持久的特征，但他们自杀未遂时的临床特征可能与无人格障碍者并无不同。
