Horton-Deutsch S L, Clark D C, Farran C J
Rush University Graduate College of Nursing, Chicago, Illinois.
Hosp Community Psychiatry. 1992 Dec;43(12):1198-203. doi: 10.1176/ps.43.12.1198.
In a structured psychological autopsy study of suicide in older adults, 14 cases in which the subjects experienced chronic dyspnea in the months or weeks before death were examined. Thirteen of the subjects were white men. Most had a diagnosable psychiatric disorder, although none had previous contact with a mental health professional. Other common characteristics were chronic or terminal heart or lung disease, very recent contact with a primary physician, prior experience of self or a significant other suffering a debilitating disease, and a fiercely independent and inflexible personality type. The cases illustrate the intricacy of risk factors associated with suicide and alert other investigators and health care professionals to a possible link between chronic dyspnea and suicide risk.
在一项针对老年人自杀的结构化心理解剖学研究中，对14例在死亡前数月或数周经历慢性呼吸困难的病例进行了检查。其中13名受试者为白人男性。大多数人患有可诊断的精神疾病，尽管此前无人与心理健康专业人员接触过。其他常见特征包括慢性或晚期心脏或肺部疾病、最近与初级医生接触、自身或重要他人曾有患衰弱性疾病的经历，以及强烈独立和固执的性格类型。这些病例说明了与自杀相关的风险因素的复杂性，并提醒其他研究人员和医疗保健专业人员注意慢性呼吸困难与自杀风险之间可能存在的联系。
