Ahmadi Alireza, Mohammadi Reza, Schwebel David C, Yeganeh Naser, Hassanzadeh Mehdi, Bazargan-Hejazi Shahrzad
Department of Anesthesiology, Critical Care and Pain Management, Kermanshah University of Medical Sciences, Kermanshah, Iran.
J Forensic Sci. 2010 Mar 1;55(2):447-50. doi: 10.1111/j.1556-4029.2009.01268.x. Epub 2010 Jan 11.
The objective of this study was to investigate preexisting psychiatric disorders in self-immolation patients. In a case-control study, 30 consecutive cases of deliberate self-inflicted burns, admitted to the regional burn center, were compared with 30 controls. Mental disorders were assessed via detailed clinical interview. Descriptive data revealed that 67% of self-immolation patients had adjustment disorder (all female), 10% drug and alcohol abuse/dependence (all male), 7% dysthymia, 3% major depression, 3% anorexia nervosa, 3% primary insomnia, 7% borderline personality disorder (50% male), 7% depressive personality disorder (100% female), and 3% antisocial personality disorder. In bivariate comparisons, adjustment disorders emerged as related to risk of self-immolation (odds ratio = 13.00). This study suggests that adjustment disorder is a risk factor for self-immolation. As a result, it has been suggested that increasing education about problem-solving approaches, and coping skills for females and at-risk groups are appropriate prevention programs and strategies in Iranian communities.
本研究的目的是调查自焚患者先前存在的精神障碍。在一项病例对照研究中，将连续收治到地区烧伤中心的30例故意自伤烧伤患者与30例对照进行比较。通过详细的临床访谈评估精神障碍。描述性数据显示，67%的自焚患者患有适应障碍（均为女性），10%有药物和酒精滥用/依赖（均为男性），7%有心境恶劣，3%有重度抑郁症，3%有神经性厌食症，3%有原发性失眠，7%有边缘型人格障碍（50%为男性），7%有抑郁型人格障碍（100%为女性），3%有反社会型人格障碍。在双变量比较中，适应障碍与自焚风险相关（比值比=13.00）。本研究表明，适应障碍是自焚的一个危险因素。因此，有人建议，在伊朗社区，加强关于解决问题方法的教育以及针对女性和高危群体的应对技能培训是合适的预防方案和策略。
