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50岁及以上抑郁症成年人的人格与自杀未遂:一项层面分析

Personality and attempted suicide in depressed adults 50 years of age and older: a facet level analysis.

作者信息

Useda J David, Duberstein Paul R, Conner Kenneth R, Conwell Yeates

机构信息

Laboratory of Personality and Development, Center for the Study and Prevention of Suicide, Department of Psychiatry, University of Rochester Medical Center, NY 14642, USA.

出版信息

Compr Psychiatry. 2004 Sep-Oct;45(5):353-61. doi: 10.1016/j.comppsych.2004.06.002.

Abstract

We examined the contribution of personality traits to attempted suicide, the number of suicidal attempts, and suicidal ideation in a sample of depressed inpatients. Personality was assessed via the Revised NEO Personality Inventory (NEO-PI-R). Bivariate analyses showed that suicide attempters were more self-conscious, self-effacing, impulsive, and vulnerable to stress, and less warm, gregarious, and inclined to experience positive emotions. Multivariate regression analyses controlling for age, gender, severity of depression, and psychiatric comorbidity showed that patients with a lifetime history of attempted suicide were less inclined to experience positive emotions and be more self-effacing. Patients with more severe suicidal ideation were less warm and more self-effacing. Results indicated that specific personality traits confer risk for suicidal behaviors in middle age and older adults. Interventions tailored to specific personality profiles in this high-risk group should be developed, and their efficacy examined.

摘要

我们在一组抑郁症住院患者样本中,研究了人格特质对自杀未遂、自杀未遂次数及自杀意念的影响。通过修订的大五人格量表(NEO-PI-R)评估人格。双变量分析表明,自杀未遂者更有自我意识、谦逊、冲动且易受压力影响,而较不热情、爱交际,也不太倾向于体验积极情绪。控制年龄、性别、抑郁严重程度和精神共病的多变量回归分析表明,有自杀未遂终生史的患者不太倾向于体验积极情绪,且更谦逊。有更严重自杀意念的患者较不热情且更谦逊。结果表明,特定人格特质会使中年及老年成年人面临自杀行为风险。应针对这一高风险群体的特定人格特征制定干预措施,并检验其效果。

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