National Drug and Alcohol Research Centre, University of New South Wales 2052, Sydney, Australia.
Suicide Life Threat Behav. 2010 Feb;40(1):50-62. doi: 10.1521/suli.2010.40.1.50.
The prevalence and risk factors associated with self-mutilation among opioid dependent cases and controls were determined, and the co-occurrence of self-mutilation and attempted suicide was examined. The prevalence of self-mutilation among cases and controls did not differ significantly (25% vs. 23%, respectively), with gender differences identified among cases only. A number of risk factors were found to be associated with self-mutilation, including borderline personality disorder, alcohol dependence, childhood sexual abuse, and multiple suicide attempts. Not only is self-mutilation a clinically significant problem, but when combined with a history of attempted suicide, the psychological dysfunction observed is markedly high.
研究了阿片类药物依赖者病例组和对照组中与自伤行为相关的流行率和风险因素,并检查了自伤行为与自杀未遂的共病情况。病例组和对照组的自伤行为流行率没有显著差异(分别为 25%和 23%),仅在病例组中发现了性别差异。发现许多风险因素与自伤行为相关,包括边缘型人格障碍、酒精依赖、儿童性虐待和多次自杀未遂。自伤行为不仅是一个具有临床意义的问题,而且当与自杀未遂史结合时,观察到的心理功能障碍明显很高。