Söderberg Stig, Kullgren Gunnar, Renberg Ellinor Salander
Department of Clinical Sciences, Psychiatry, Umeå University, Sweden.
Arch Suicide Res. 2004;8(2):153-62. doi: 10.1080/13811110490271001.
The high prevalence of borderline personality disorder in parasuicide raises the question whether there are differences in motives, precipitating factors, and life events as compared to other clinical groups. Consecutive hospital admitted parasuicide patients were therefore investigated for personality disorders by a structured clinical interview (SCID-II), a structured interview concerning precipitating factors and a self-report questionnaire on motives and life events. Out of a total of 64 patients, 55% met the criteria for a borderline personality disorder. While the parasuicidal motives and precipitating factors did not differ between the borderline group and the others, the borderline group reported significantly more adverse life events. Our findings suggest that the overrepresentation of borderline personality disorder in parasuicide might be related to accumulated adverse life events rather than to manipulative motives.
与其他临床群体相比，其在动机、促发因素和生活事件方面是否存在差异。因此，通过结构化临床访谈（SCID-II）、关于促发因素的结构化访谈以及一份关于动机和生活事件的自我报告问卷，对连续入院的自杀未遂患者进行了人格障碍调查。在总共64名患者中，55%符合边缘型人格障碍的标准。虽然边缘型人格障碍组与其他组在自杀未遂动机和促发因素方面没有差异，但边缘型人格障碍组报告的不良生活事件明显更多。我们的研究结果表明，边缘型人格障碍在自杀未遂者中的高比例可能与累积的不良生活事件有关，而非与操纵动机有关。
