Goldney R D, Smith S, Winefield A H, Tiggeman M, Winefield H R
Dibden Research Unit, Glenside Hospital, Eastwood, Australia.
Acta Psychiatr Scand. 1991 Feb;83(2):115-20. doi: 10.1111/j.1600-0447.1991.tb07375.x.
A longitudinal study between 1980 and 1988 of school leavers entering adulthood examined suicidal ideation 4 and 8 years after an initial battery of psychological tests. The report of suicidal ideation during their lives was significantly associated with measures of depression, self-esteem and locus of control 8 years previously. It was also associated with those measures as well as anomie, hopelessness and scores on the General Health Questionnaire 4 years previously. These associations were not as strong for subjects whose suicidal ideation had been present in the most recent 6 months, or for those who acknowledged having attempted suicide. No fewer than 40% of subjects who acknowledged suicidal ideation when examined in 1984 denied ever having had suicidal ideation during their lives when re-examined in 1988. This raises doubts about the validity of such studies. Although these findings provide data that confirm the enduring nature of suicidal ideation and its continuing morbidity, they do not give confidence that any screening of schoolchildren could actually predict those who will attempt suicide. Such studies cannot replace full clinical assessment of individual suicidal subjects.
一项对1980年至1988年间进入成年期的离校生进行的纵向研究，在最初一系列心理测试后的4年和8年对自杀意念进行了调查。他们一生中自杀意念的报告与8年前的抑郁、自尊和控制点测量显著相关。它还与4年前的这些测量指标以及失范、绝望和一般健康问卷得分相关。对于那些在最近6个月内有自杀意念的受试者，或者那些承认曾试图自杀的受试者，这些关联并不那么强烈。在1984年接受检查时承认有自杀意念的受试者中，不少于40%在1988年重新检查时否认一生中曾有过自杀意念。这引发了对此类研究有效性的质疑。尽管这些发现提供的数据证实了自杀意念的持续性及其持续的发病率，但它们并不能让人相信对学童的任何筛查实际上能够预测出那些会试图自杀的人。此类研究不能取代对个体自杀受试者的全面临床评估。
