Horesh Netta, Sever Jonathan, Apter Alan
Department of Psychology, Bar-Ilan University, Ramat-Gan, Israel.
Compr Psychiatry. 2003 Jul-Aug;44(4):277-83. doi: 10.1016/S0010-440X(03)00091-9.
The current study compared the correlations of different types of stressful life events (SLE) between suicidal adolescents with major depressive disorder (MDD) and suicidal adolescents with borderline personality disorder (BPD). Both groups were referred following an attempted suicide. Twenty adolescents with MDD and 20 adolescents with BPD who were consecutively referred to an outpatient clinic following a suicide attempt were evaluated. A community control group of adolescents with no lifetime history of suicidal behavior was also assessed. The following measurements were employed: the Suicide Risk Scale (SRS) Beck Depression Inventory (BDI), the Life Events Checklist (LEC), and the Childhood Sexual Abuse Questionnaire (CSEQ). Both groups of suicidal subjects reported more SLE in general and more physical abuse than community controls in the 12 months before the suicide attempt. The MDD adolescents had more lifetime death-related SLE than the BPD and control groups, while the BPD adolescents reported more lifetime sex abuse-related SLE than the other two groups. Thus, suicidal behavior in general may be related to the amount of SLE. However, different disease-specific life events may precipitate suicide attempts in adolescents with MDD and BPD.
本研究比较了重度抑郁症(MDD)自杀青少年与边缘性人格障碍(BPD)自杀青少年中不同类型的应激性生活事件(SLE)之间的相关性。两组均在自杀未遂后被转诊。对20名MDD青少年和20名BPD青少年进行了评估,这些青少年在自杀未遂后被连续转诊至门诊诊所。还评估了一个无自杀行为终生史的社区青少年对照组。采用了以下测量方法:自杀风险量表(SRS)、贝克抑郁量表(BDI)、生活事件清单(LEC)和儿童期性虐待问卷(CSEQ)。两组自杀受试者在自杀未遂前12个月内报告的SLE总体上更多,身体虐待也比社区对照组更多。MDD青少年与死亡相关的终生SLE比BPD组和对照组更多,而BPD青少年报告的与性虐待相关的终生SLE比其他两组更多。因此,一般而言,自杀行为可能与SLE的数量有关。然而,不同疾病特异性的生活事件可能促使MDD和BPD青少年自杀未遂。