Weissman M M
Arch Gen Psychiatry. 1975 Sep;32(9):1166-71. doi: 10.1001/archpsyc.1975.01760270098014.
Reports of select samples have described suicide attempt by wrist cutting as a unique clinical syndrome occurring in young, single, attractive women, associated with specific psychological characteristics. A St. Louis study of a large unselected sample found that persons who cut their wrists were similar to other suicide attempters and were not more apt to be single females who made repeated attempts. These findings are repeated in a New Haven, Conn, study suggesting that reports of persons cutting their wrists should be reconsidered in light of these epidemiologic findings. Institutional differences in patient sampling can account for lack of agreement. While clinical observations are important, additional study through epidemiologic approaches is necessary before conclusions about new syndromes can be made. Current evidence on wrist cutting raises questions about the existence of a separate syndrome.
对部分样本的报告将割腕自杀企图描述为一种发生在年轻、单身、有魅力女性身上的独特临床综合征，与特定的心理特征相关。圣路易斯一项针对大量未经过筛选样本的研究发现，割腕者与其他自杀未遂者相似，并非更倾向于单身女性且反复尝试自杀。康涅狄格州纽黑文的一项研究重复了这些发现，这表明鉴于这些流行病学研究结果，对于割腕者的报告应重新审视。患者样本的机构差异可能导致观点不一致。虽然临床观察很重要，但在得出关于新综合征的结论之前，有必要通过流行病学方法进行更多研究。目前关于割腕的证据引发了对是否存在单独综合征的质疑。
