急诊精神病学患者的幻觉、假性幻觉和自杀意念严重程度。
Hallucinations, pseudohallucinations, and severity of suicidal ideation among emergency psychiatry patients.
机构信息
Department of Psychiatry and Behavioral Sciences, University of Louisville School of Medicine, Louisville, KY, USA.
出版信息
Crisis. 2010;31(1):53-6. doi: 10.1027/0227-5910/a000002.
AIMS
This study investigated relative relationships between auditory hallucinations and nonpsychotic hallucinations (pseudohallucinations), and suicidal risk.
METHODS
A sample of 206 consecutive patients seen in an emergency psychiatric service was evaluated for the presence and intensity of hallucinatory experiences (the hallucination item of the Positive and Negative Symptoms Scale), suicidal intensity (the suicide item of the Montgomery Asberg Depression Rating Scale), and cumulative suicide risk (the total number of risk factors).
RESULTS
Individuals with nonpsychotic hallucinations experienced greater intensity of suicidal ideation versus subjects with no hallucinations or subjects with psychotic hallucinations (p = .0001).
CONCLUSIONS
Pseudohallucinosis is associated with higher intensity of suicidal ideation compared with psychotic hallucinations or no hallucinations.
目的
本研究旨在探讨幻听与非精神病性幻觉（假性幻觉）之间的关系，以及与自杀风险的关系。
方法
对在急诊精神科就诊的 206 例连续患者进行评估，评估内容包括幻觉体验的存在和强度（阳性和阴性症状量表中的幻觉项目）、自杀强度（蒙哥马利抑郁评定量表中的自杀项目）和累积自杀风险（风险因素的总数）。
结果
与无幻觉或精神病性幻觉的患者相比，有非精神病性幻觉的患者自杀意念的强度更大（p=0.0001）。
结论
与精神病性幻觉或无幻觉相比，假性幻觉与更高强度的自杀意念有关。
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