K.E. Sadanandan Unni, DNB(Psy), DPM, Assistant Professor, Department of Psychiatry, Jawaharlal Institute of Post-Graduate Medical Education and Research, Pondicherry 605 006.
Indian J Psychiatry. 1995 Oct;37(4):169-75.
The motivation of one hundred cases of suicide attempters was assessed clinically depending purely on their subjective reports. They were grouped into two, viz., those who primarily wished for a change (here in after called WC) and those who unambiguously wished to die (hereinafter called WD). They were compared with regard to the details of the attempt, methods of attempt, psychiatric and sociodemographic profile. The WC group was observed to have taken less precaution against discovery of their attempt, had low lethality with regard to the method used and had more adjustment problems than psychiatric diseases. They clearly belonged to the low risk group. The WD group had all these findings in the contrary, which put them in the high risk category. This simple way of assessing suicide risk may be having a face validity in the sociocultural context of the present.
对 100 例自杀未遂者的动机进行了临床评估,完全依据他们的主观报告。将他们分为两组,即主要希望改变(以下简称 WC)和明确希望死亡(以下简称 WD)的患者。比较了两组患者在尝试的细节、尝试的方法、精神科和社会人口统计学特征方面的差异。观察到 WC 组在试图隐瞒其行为方面采取的预防措施较少,所使用的方法的致命性较低,并且与精神疾病相比,存在更多的适应问题。他们显然属于低风险组。而 WD 组则在这些方面都相反,这使他们处于高风险类别。这种简单的评估自杀风险的方法在当前的社会文化背景下可能具有表面有效性。