Sayar Kemal, Acar Burcin, Ak Ismail
Karadeniz Technical University Medical School, Trabzon, Turkey.
Isr J Psychiatry Relat Sci. 2003;40(3):165-73.
A number of factors including hopelessness have been identified as amplifying suicide risk. Alexithymia has recently been investigated as a predictor of suicidal behavior. The prevalence of the personality trait alexithymia in suicide attempters as well as other predictors of suicidal behavior were investigated in this study. One hundred suicide attempters were compared to 60 healthy controls on the measures of hopelessness, alexithymia, depression and suicidal ideation. First-timers and repetitive suicide attempters, males and females, married and unmarried suicide attempters were compared to each other in the suicide attempter group. The correlations of hopelessness, depression and alexithymia with suicidal intent and suicide lethality were investigated. The suicide attempter group did not display significantly higher scores on the alexithymia measure, compared to healthy controls. Alexithymia neither seemed to be a prevalent personality trait in suicide attempters nor a sensitive predictor of suicidality. The subscales of Toronto Alexithymia Scale measuring difficulty in identification and expression of feelings also did not reveal a significant difference between the two groups. Suicide attempters were more depressive, more hopeless and displayed greater suicidal ideation than healthy controls. Severity of depression was a stronger predictor of suicidal intent than hopelessness in the suicide attempter group. The lethality of the suicide attempt did not correlate with any of the psychometric measures. These findings propose that difficulty in the identification and articulation of feelings does not comprise a risk factor for suicidal behavior.
包括绝望在内的一些因素已被确定为会加大自杀风险。近年来，述情障碍被作为自杀行为的一个预测指标进行研究。本研究调查了自杀未遂者中述情障碍这种人格特质的患病率以及自杀行为的其他预测指标。在绝望感、述情障碍、抑郁和自杀意念等方面，对100名自杀未遂者与60名健康对照者进行了比较。在自杀未遂者组中，对首次自杀未遂者与反复自杀未遂者、男性与女性、已婚与未婚自杀未遂者进行了相互比较。研究了绝望感、抑郁和述情障碍与自杀意图及自杀致死性之间的相关性。与健康对照者相比，自杀未遂者组在述情障碍测量中的得分并未显著更高。述情障碍似乎既不是自杀未遂者中普遍存在的人格特质，也不是自杀倾向的敏感预测指标。多伦多述情障碍量表中测量情感识别和表达困难的分量表在两组之间也未显示出显著差异。自杀未遂者比健康对照者更抑郁、更绝望，且有更强的自杀意念。在自杀未遂者组中，抑郁严重程度比绝望感更能有力地预测自杀意图。自杀未遂的致死性与任何心理测量指标均无相关性。这些研究结果表明，情感识别和表达困难并不构成自杀行为的一个风险因素。
