妄想与自杀倾向。
Delusions and suicidality.
作者信息
Grunebaum M F, Oquendo M A, Harkavy-Friedman J M, Ellis S P, Li S, Haas G L, Malone K M, Mann J J
机构信息
Mental Health Clinical Research Center for the Study of Suicidal Behavior, Department of Neuroscience, New York State Psychiatric Institute, NY 10032, USA.
出版信息
Am J Psychiatry. 2001 May;158(5):742-7. doi: 10.1176/appi.ajp.158.5.742.
OBJECTIVE
Delusions have been considered a risk factor for suicidal behavior. To determine whether specific delusion types are related to suicidal behaviors, the authors compared the clinical characteristics of patients with mood disorders and schizophrenia who did and did not have a history of suicide attempts.
METHOD
After admission for inpatient or outpatient psychiatric treatment, 429 patients (ages 14-72 years; 47.1% male; and 73.0% Caucasian) were assessed with a structured clinical interview that generated axis I and II diagnoses. In addition, their psychiatric symptoms, history of suicide attempts, and overall functioning were rated.
RESULTS
Data for three diagnostic subgroups (223 patients with major depression, 150 with schizophrenia, and 56 with bipolar disorder) were analyzed separately. Multivariate analyses did not find evidence of a relationship between delusions and history of suicidal ideation or suicide attempts in any of the diagnostic groups.
CONCLUSIONS
This study did not find evidence that the presence of delusions distinguished persons with or without a history of suicide attempt.
目的
妄想被认为是自杀行为的一个风险因素。为了确定特定的妄想类型是否与自杀行为相关，作者比较了有和没有自杀未遂史的心境障碍患者及精神分裂症患者的临床特征。
方法
429名患者（年龄14 - 72岁；47.1%为男性；73.0%为白种人）在接受住院或门诊精神科治疗入院后，通过结构化临床访谈进行评估，该访谈得出轴I和轴II诊断。此外，对他们的精神症状、自杀未遂史和整体功能进行评分。
结果
对三个诊断亚组（223名重度抑郁症患者、150名精神分裂症患者和56名双相情感障碍患者）的数据进行了单独分析。多变量分析未发现任何诊断组中妄想与自杀意念史或自杀未遂之间存在关联的证据。
结论
本研究未发现证据表明妄想的存在能区分有或没有自杀未遂史的人。
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