Keller F, Wolfersdorf M, Straub R, Hole G
Depression Ward, Weissenau Psychiatric Hospital, Ravensburg, Federal Republic of Germany.
Acta Psychiatr Scand. 1991 May;83(5):324-8. doi: 10.1111/j.1600-0447.1991.tb05549.x.
Within the context of a habituation experiment, the electrodermal activity (EDA) of suicidal depressed patients was measured. Twenty-four patients had a suicide attempt in their most recent history; these attempts were divided into attempts with violent or nonviolent methods. All the patients who had used a violent method habituated quickly, as was the case for 4 of 5 patients who committed suicide in the year following the experiment. Just as many patients who used nonviolent methods habituated quickly or slowly. There was no indication that age, sex or medication had any influence. For 18 of these 24 patients, comparable groups, in terms of age and sex distribution, were formed containing either nonsuicidal depressed patients or patients with suicidal thoughts. No differences between groups concerning any of the EDA variables could be found. In accordance with these results, EDA cannot be considered to be a valid predictor for suicide-proneness. The relations between violent suicide attempts and nonreactivity should, however, be further examined and the group of nonreactive patients in EDA should be treated as a risk group for clinical reasons.
在习惯化实验的背景下,对有自杀倾向的抑郁症患者的皮肤电活动(EDA)进行了测量。24名患者在近期有过自杀未遂经历;这些未遂行为分为采用暴力或非暴力方式的未遂。所有采用暴力方式的患者都很快出现了习惯化,实验后一年内自杀的5名患者中有4名也是如此。采用非暴力方式的患者中,习惯化快和慢的人数相当。没有迹象表明年龄、性别或药物治疗有任何影响。在这24名患者中,针对18名患者,根据年龄和性别分布组成了可比组,其中包括非自杀性抑郁症患者或有自杀念头的患者。在任何EDA变量方面,各小组之间均未发现差异。根据这些结果,不能认为EDA是自杀倾向的有效预测指标。然而,暴力自杀未遂与无反应性之间的关系应进一步研究,出于临床原因,EDA无反应性患者组应被视为高危组。