Bakirkoy State Hospital for Mental Health and Neurological Disorders, Alcohol and Drug Research, Treatment and Training Center (AMATEM), Istanbul, Turkey.
Psychiatry Res. 2011 Nov 30;190(1):126-31. doi: 10.1016/j.psychres.2011.08.002. Epub 2011 Aug 27.
The aim of this study was to investigate the relationship between severity of borderline personality features and history of suicide attempt (HSA) in male substance-dependent inpatients and the effect of anger, hostility and aggression on this relationship. Further, the effect of some variables that may be related to suicide and/or borderline personality, such as age at inception of regular substance use, substance of dependence (alcohol/drug), depression, and both state and trait anxiety, were controlled. Participants were 200 consecutively admitted male substance-dependent inpatients. Patients were investigated with the Borderline Personality Inventory (BPI), the Buss-Perry Aggression Questionnaire (AQ), the Beck Depression Inventory (BDI) and the State-Trait Anxiety Inventory (STAI). Among substance-dependent inpatients, 33.0% (n=66) were identified as the group with HSA. Mean scores employment status, marital status and duration of education did not differ between groups, whereas current age and age at onset of regular substance use were lower in group with HSA. Mean scores of BPI, AQ and its subscales (anger, hostility and physical/verbal aggression), BDI and STAI were higher in the HSA group. In addition, the rates of drug dependency and borderline personality disorder were higher in this group. The severity of borderline personality symptoms was highly correlated with subscales of the AQ, depression and anxiety, whereas it was negatively correlated with age at onset of regular substance use. The severity of anger and borderline personality features predicted HSA in the logistic regression model. Results suggest that, to reduce the risk of suicide attempt among substance-dependent patients, the feeling of anger must be the target of evaluation and treatment among those with borderline personality features.
本研究旨在探讨男性物质依赖住院患者边缘性人格特征严重程度与自杀未遂史（HSA）之间的关系，以及愤怒、敌意和攻击性对这种关系的影响。此外，还控制了一些可能与自杀和/或边缘性人格有关的变量，如开始定期使用物质的年龄、依赖物质（酒精/药物）、抑郁以及状态和特质焦虑。参与者为 200 名连续入院的男性物质依赖住院患者。采用边缘人格特征量表（BPI）、Buss-Perry 攻击性问卷（AQ）、贝克抑郁量表（BDI）和状态-特质焦虑量表（STAI）对患者进行调查。在物质依赖住院患者中，有 33.0%（n=66）被确定为有 HSA 组。两组在就业状况、婚姻状况和受教育程度方面无差异，而 HSA 组的当前年龄和开始定期使用物质的年龄较低。BPI、AQ 及其子量表（愤怒、敌意和身体/言语攻击）、BDI 和 STAI 的平均分在 HSA 组中较高。此外，该组的药物依赖和边缘性人格障碍的发生率也较高。边缘性人格症状的严重程度与 AQ、抑郁和焦虑的子量表高度相关，而与开始定期使用物质的年龄呈负相关。愤怒的严重程度和边缘性人格特征预测了逻辑回归模型中的 HSA。结果表明，为了降低物质依赖患者自杀未遂的风险，必须将愤怒情绪作为具有边缘性人格特征患者评估和治疗的目标。
