León-Carrión J, De Serdio-Arias M L, Cabezas F M, Roldán J M, Domínguez-Morales R, Martín J M, Sanchez M A
Department of Experimental Psychology, University of Seville, Spain.
Brain Inj. 2001 Feb;15(2):175-81. doi: 10.1080/026990501458407.
The possibility that patients who have suffered a traumatic brain injury will commit suicide is high, and in many cases clinicians tend to underestimate this possibility. In this study, 39 consecutive patients are studied through a Rorschach technique more than 1.5 years after their hospital discharge. The data show that 48.6% of the patients fulfil the criteria that classifies them as depressive, and, of these, 65% are at clinical risk to commit suicide (33.3% of the total of TBI patients); 25.6% have not met the criteria of depression or suicidal tendencies, and another 25.6% show very low suicide tendency scores. Only 15.6% of the total patients presented only depression without risk of suicide. The neurobehavioural and cognitive profile of the TBI suicide-prone patient shows an emotional person with cognitive difficulties in how they interpret reality, the person tries to understand what is happening around them, but is unable to cope. They show concrete thoughts, although they have difficulties solving problems and have few intellectual resources to cope with their surroundings. They do not know how to distance themselves from the emotional aspects of situations.
遭受创伤性脑损伤的患者自杀可能性很高，而且在很多情况下临床医生往往低估这种可能性。在本研究中，对39例连续患者在出院超过1.5年后通过罗夏墨迹测验技术进行研究。数据显示，48.6%的患者符合将其归类为抑郁的标准，其中65%有临床自杀风险（占创伤性脑损伤患者总数的33.3%）；25.6%未达到抑郁或自杀倾向标准，另外25.6%的自杀倾向得分很低。在全部患者中，仅15.6%仅表现为抑郁而无自杀风险。有自杀倾向的创伤性脑损伤患者的神经行为和认知特征表现为一个情绪化的人，在如何解读现实方面存在认知困难，试图理解周围发生的事情，但无法应对。他们表现出具体的思维，尽管解决问题有困难且应对周围环境的智力资源很少。他们不知道如何从情境的情感方面抽离出来。
