Mohino Justes S, Ortega-Monasterio L, Planchat Teruel L M, Cuquerella Fuentes A, Talón Navarro T, Macho Vives L J
Catalan Institute of Forensic Medicine of Higher Court of Justice, Clínica Médico-Forense de Barcelona, Ronda de San Pedro, 35, bajos. 08010 Barcelona, Spain.
J Forensic Sci. 2004 Jan;49(1):137-40.
This study investigated deliberate self-harm (DSH) in young inmates. The objectives are twofold: first, to identify the social and clinical characteristics of inmates who commit DSH; and secondly, to ascertain the types of personality who are vulnerable in order to be able to predict future inmates who may harm themselves. A cross-sectional design was used to study psychosocial correctional personality characteristics and clinical pictures in inmates with DSH versus a control group without DSH. The measures used to evaluate different variables were a standard protocol and a self-report questionnaire (MCMI-II). Although the two groups compared are homogeneous and similar in terms of different psychosocial variables, inmates with DSH presented a significant background of maltreatment. Borderline, passive-aggressive, and antisocial personality disorders best discriminated both groups. The detection of borderline, negativistic, and antisocial disorders may help the medical services of penitentiary centers to predict youths with a possible risk of DSH. Despite the results obtained, longitudinal studies are needed to help clarify other risk factors, as well as other risk factors leading to self-harm behavior.
本研究调查了年轻囚犯中的蓄意自伤行为。目标有两个：第一，确定实施蓄意自伤行为的囚犯的社会和临床特征；第二，确定易出现此行为的人格类型，以便能够预测未来可能会自我伤害的囚犯。采用横断面设计研究有蓄意自伤行为的囚犯与无蓄意自伤行为的对照组在心理社会、矫正、人格特征和临床状况方面的差异。用于评估不同变量的方法是一份标准方案和一份自我报告问卷（MCMI-II）。尽管所比较的两组在不同心理社会变量方面是同质且相似的，但有蓄意自伤行为的囚犯存在显著的虐待史。边缘型、被动攻击型和反社会人格障碍最能区分这两组。检测边缘型、消极对抗型和反社会障碍可能有助于监狱中心的医疗服务部门预测有蓄意自伤行为潜在风险的年轻人。尽管取得了这些结果，但仍需要进行纵向研究，以帮助阐明其他风险因素以及导致自伤行为的其他危险因素。
