Addington D E, Addington J M
Department of Psychiatry, University of Calgary, Alberta, Canada.
Acta Psychiatr Scand. 1992 Apr;85(4):288-91. doi: 10.1111/j.1600-0447.1992.tb01471.x.
The relationships between symptoms and both prior suicide attempts and current suicidal thinking were examined in a sample of schizophrenics at 2 points in time. Fifty subjects meeting DSM-III criteria for schizophrenia were assessed within 1 week of admission, and 41 were reassessed at a 6-month follow-up. On admission, prior suicide attempts were significantly associated with current depression, female sex, lower education and more frequent hospitalization. The association with depression remained significant at follow-up. In addition, current suicidal thinking was associated with depression at both times but also with negative symptoms at time 1 and delusions and hallucinations at time 2. These findings confirm and strengthen prior reports of an association between depression and attempted suicide.
在两个时间点对一组精神分裂症患者样本进行研究,以考察症状与既往自杀未遂及当前自杀念头之间的关系。50名符合《精神疾病诊断与统计手册》第三版(DSM-III)精神分裂症标准的受试者在入院后1周内接受评估,41名受试者在6个月随访时再次接受评估。入院时,既往自杀未遂与当前抑郁、女性、低学历及更频繁住院显著相关。随访时,与抑郁的关联依然显著。此外,当前自杀念头在两个时间点均与抑郁相关,但在时间点1还与阴性症状相关,在时间点2与妄想和幻觉相关。这些发现证实并强化了既往关于抑郁与自杀未遂之间关联的报告。