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自杀家族史与人格

Family history of suicide and personality.

作者信息

Sarchiapone Marco, Carli Vladimir, Janiri Luigi, Marchetti Marco, Cesaro Caterina, Roy Alec

机构信息

Department of Health Sciences, University of Molise, Via de Sanctis, 86100 Campobasso, Italy.

出版信息

Arch Suicide Res. 2009;13(2):178-84. doi: 10.1080/13811110902835148.

Abstract

The objective of this study was to analyze the impact of family history of suicidal behaviour on psychopathlogical features of inmates. A sample of 1,179 prisoners had a psychiatric interview including the Brown-Goodwin Assessment for Lifetime History of Aggression (BGLHA). Prisoners completed the Barratt Impulsivity Scale (BIS), Buss-Durkee Hostility Inventory (BDHI), and Eysenck Personality Questionnaire (EPQ). Prisoners with a family history of suicide were compared with prisoners without a family history of suicide on clinical and personality variables. Seventy of the 1,179 prisoners (5.9%) had a family history of suicide. Significantly more FHS positive prisoners had attempted suicide compared with FHS negative prisoners (36% vs. 12%, P < 0.0001). Significantly more FHS positive prisoners had a previous history of convictions, a history of juvenile convictions, and had exhibited aggressive behavior in jail. FHS positive prisoners had significantly higher aggression scores on the BGLHA, higher hostility scores on the BDHI, higher impulsivity scores on the BIS, and higher neuroticism scores on the EPQ. A family history of suicide may be a useful clinical indicator that a prisoner is at increased risk for suicidal behaviour and may have problems with impulsive-aggression.

摘要

本研究的目的是分析自杀行为家族史对囚犯心理病理特征的影响。1179名囚犯样本接受了包括布朗 - 古德温终生攻击史评估(BGLHA)在内的精神病学访谈。囚犯们完成了巴拉特冲动性量表(BIS)、巴斯 - 杜克敌意量表(BDHI)和艾森克人格问卷(EPQ)。将有自杀家族史的囚犯与无自杀家族史的囚犯在临床和人格变量方面进行比较。1179名囚犯中有70名(5.9%)有自杀家族史。与无自杀家族史的囚犯相比,有自杀家族史阳性的囚犯自杀未遂的比例显著更高(36%对12%,P<0.0001)。有自杀家族史阳性的囚犯有前科、少年犯罪史且在监狱中表现出攻击行为的比例显著更高。有自杀家族史阳性的囚犯在BGLHA上的攻击得分显著更高,在BDHI上的敌意得分更高,在BIS上的冲动性得分更高,在EPQ上的神经质得分更高。自杀家族史可能是一个有用的临床指标,表明囚犯有更高的自杀行为风险,并且可能存在冲动 - 攻击方面的问题。

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