Becerra B, Páez F, Robles-García R, Vela G E
Instituto Jalisciense de Salud Mental, Secretaría de Salud de Jalisco, Mexico.
Actas Esp Psiquiatr. 2005 Mar-Apr;33(2):117-22.
The aim of this study was to establish the association between temperament and character personality traits with attempted suicide patients.
Consecutive male and female adults subjects, between 18-65 years old, presenting a suicide attempt and hospitalized in the Psychiatric Service of Civil Hospital of Guadalajara, Jalisco (Mexico), were evaluated based on Cloninger's Temperament and Character Inventory (TCI) and compared with the Mexican normative data.
A total 63 subjects, with a mean age of 28.25 +/- 9.28 years old, 54 % of whom were women, were enrolled. Personality traits associated with suicide attempt in comparison with general population included: temperament: elevation in "novelty seeking" (22.9 +/- 6.0 vs 20.2 +/- 5.1; t = 3.30, df = 83, p = 0.01), "harm avoidance" (19.0 +/- 4.8 vs 12.6 +/- 7.1; t = 8.54, df = 132, p < 0.001), and "self-transcendence" (19.1 +/- 5.6 vs 16.4 +/- 6.2; t = 3.41, df = 100, p = 0.0009); and character: decrease in "self-directedness" (26.8 +/- 6.2 vs 29.9 +/- 10.8; t = -3.02, df = 161, p = 0.002), and "cooperativeness" (26.0 +/- 4.5 vs 28.2 +/- 9.9; t = -2.59, df = 214, p = 0.01). Finally, males with suicide attempt showed higher "harm avoidance" than females (20.37 +/- 5.3 vs 17.82 +/- 4.1; t = -2.14, df = 61, p = 0.036).
Temperament traits associated with suicide attempt in the present study are related with serotoninergic and noradrenergic deregulation previously involved in the phenomena, and the sum of the character personality dimensions explains the complex relationship between biological and learned factors of suicide behavior.
本研究的目的是确定自杀未遂患者的气质和性格人格特质之间的关联。
对年龄在18 - 65岁之间、有自杀未遂行为且在墨西哥哈利斯科州瓜达拉哈拉市民医院精神科住院的成年男女连续患者,基于克隆宁格的气质和性格量表(TCI)进行评估,并与墨西哥的常模数据进行比较。
共纳入63名受试者,平均年龄为28.25±9.28岁,其中54%为女性。与一般人群相比,与自杀未遂相关的人格特质包括:气质方面:“新奇寻求”升高(22.9±6.0 vs 20.2±5.1;t = 3.30,自由度 = 83,p = 0.01),“伤害回避”升高(19.0±4.8 vs 12.6±7.1;t = 8.54,自由度 = 132,p < 0.001),以及“自我超越”升高(19.1±5.6 vs 16.4±6.2;t = 3.41,自由度 = 100,p = 0.0009);性格方面:“自我导向”降低(26.8±6.2 vs 29.9±10.8;t = -3.02,自由度 = 161,p = 0.002),以及“合作性”降低(26.0±4.5 vs 28.2±9.9;t = -2.59,自由度 = 214,p = 0.01)。最后,有自杀未遂行为的男性的“伤害回避”高于女性(20.37±5.3 vs 17.82±4.1;t = -2.14,自由度 = 61,p = 0.036)。
本研究中与自杀未遂相关的气质特质与先前涉及该现象的5-羟色胺能和去甲肾上腺素能失调有关,性格人格维度的总和解释了自杀行为的生物学和习得因素之间的复杂关系。