Suppapitiporn Siriluck, Worakul Puangsoi, Suppapitiporn Suchat
Department of Psychiatry Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.
J Med Assoc Thai. 2006 Sep;89 Suppl 3:S206-12.
To investigate the personality profiles of depressed patients who attempted suicide.
The sample consisted of 80 patients aged above 18 years who presented with suicidal attempt and had clinical depression and 80 depressed patients who had never attempted suicide. The subjects were clinically assessed for depression and measured severity objectively with the Hamilton Depression Rating Scale (HAM-D). Personality was assessed via the Sixteen Personality Factor Questionnaire (16PF).
The personality profile showed that patients with suicidal attempt were easily affected by feelings, emotionally less stable, concrete thinking, relatively more uninhibited and imaginative compared to those without suicidal attempt.
Depressed patients who attempted suicide appeared to have a distinctive personality profile. Exploration and intervention tailored to specific personality profile particularly emotional instability, and concrete thinking in individuals with depression should be included in management of depression for prevention and reducing risk of suicide.
调查有自杀企图的抑郁症患者的人格特征。
样本包括80名18岁以上有自杀企图且患有临床抑郁症的患者以及80名从未有过自杀企图的抑郁症患者。对受试者进行抑郁症临床评估,并使用汉密尔顿抑郁量表(HAM-D)客观测量严重程度。通过十六种人格因素问卷(16PF)评估人格。
人格特征显示,与没有自杀企图的患者相比,有自杀企图的患者容易受情绪影响,情绪较不稳定,思维具体,相对更不受约束且富有想象力。
有自杀企图的抑郁症患者似乎具有独特的人格特征。在抑郁症管理中,应针对特定人格特征,特别是情绪不稳定和抑郁症患者的具体思维进行探索和干预,以预防和降低自杀风险。