Borst S R, Noam G G, Bartok J A
Laboratory of Developmental Psychology, Harvard Medical School, Belmont, MA 02178.
J Am Acad Child Adolesc Psychiatry. 1991 Sep;30(5):796-803.
This study investigates the relation of ego development, age, gender, and diagnosis to suicidality among 219 adolescent psychiatric inpatients. Using the Diagnostic Interview Schedule for Children, adolescents were classified as suicide attempters or as nonsuicidal and were categorized into three diagnostic groups: affective disorder, conduct disorder, or mixed conduct-affective disorder. Ego development measurement was used to assess developmental maturity. Chi-square analyses demonstrated a relation between suicide attempts and developmental complexity. Attempters were more likely to be diagnosed with affective or mixed conduct-affective disorders and to be girls. Suicidality was not associated with age in this sample. Log-linear analyses demonstrated the interplay of known suicide risk factors with the important new dimension of developmental level.
本研究调查了219名青少年精神科住院患者的自我发展、年龄、性别和诊断与自杀倾向之间的关系。使用儿童诊断访谈表，将青少年分为自杀未遂者或非自杀者，并分为三个诊断组：情感障碍、品行障碍或品行-情感混合障碍。自我发展测量用于评估发育成熟度。卡方分析表明自杀未遂与发展复杂性之间存在关联。未遂者更有可能被诊断为情感障碍或品行-情感混合障碍，且多为女孩。在这个样本中，自杀倾向与年龄无关。对数线性分析表明已知的自杀风险因素与发展水平这一重要新维度之间存在相互作用。
