Levi Yossi, Horesh Netta, Fischel Tzvi, Treves Ilan, Or Evgenia, Apter Alan
The Feinberg Child Study Center, Schneider Children's Medical Center of Israel, Petah Tikva, Israel and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
J Affect Disord. 2008 Dec;111(2-3):244-50. doi: 10.1016/j.jad.2008.02.022. Epub 2008 Apr 23.
The study of near-fatal suicide attempters may provide insight into the minds of suicidal subjects. Our aim is to test the hypothesis that mental pain is a general risk factor for suicidal behavior and communication difficulties are a particular risk factor for medically serious suicidal behavior.
Thirty five subjects who made medically serious suicide attempts were compared with 67 medically not serious suicide attempters and 71 healthy controls. All were interviewed with the SCID-I and completed questionnaires covering mental pain, communication difficulties and seriousness of suicide attempt.
Variables from the mental pain domain (e.g. depression) predicted the presence of suicidal behavior, and variables from the communication difficulties domain (e.g., self-disclosure) predicted the lethality and seriousness of the suicide attempts.
Relatively small number of patients with medically serious suicide attempt and the relatively large number of questionnaires which may to some extent have diminished informant reliability.
Problems with sharing of feelings with others are an important risk factor for near-lethal suicide, over and above the contribution of psychiatric illness and mental pain, including depression and hopelessness.
对濒死自杀未遂者的研究可能有助于洞察自杀者的心理。我们的目的是检验以下假设：精神痛苦是自杀行为的一般风险因素，而沟通困难是严重医学后果自杀行为的特定风险因素。
将35例有严重医学后果自杀未遂者与67例无严重医学后果自杀未遂者及71例健康对照者进行比较。所有受试者均接受了《精神疾病诊断与统计手册》第一版（SCID-I）访谈，并完成了涵盖精神痛苦、沟通困难及自杀未遂严重程度的问卷。
精神痛苦领域的变量（如抑郁）可预测自杀行为的存在，沟通困难领域的变量（如自我表露）可预测自杀未遂的致死性和严重程度。
有严重医学后果自杀未遂的患者数量相对较少，且问卷数量相对较多，这在一定程度上可能降低了信息提供者的可靠性。
除了精神疾病和精神痛苦（包括抑郁和绝望）的影响外，与他人分享感受存在问题是濒死自杀的一个重要风险因素。
