University of Toronto, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
J Affect Disord. 2012 Nov;140(3):292-5. doi: 10.1016/j.jad.2012.03.013. Epub 2012 Apr 6.
The objective of the current study is to arrive at a better understanding of individuals with intellectual disability (ID) who threaten or attempt suicide.
From a sample of 751 adults with ID who experienced a crisis, demographic and clinical profiles of 39 adults who threatened to commit suicide were compared to 28 adults who attempted suicide. These individuals were then compared to 337 adults who behaved aggressively toward others.
Individuals who attempted suicide appeared similar to those who voiced suicide with the exception that suicide attempters were younger and more likely to visit the emergency department. Females, higher functioning individuals, and persons with a history of self-harm had higher odds of attempting or threatening suicide
Research findings based on informant reported data, so diagnoses and delivery of services in hospital cannot be validated.
Suicidality does occur in adults with ID, and can result in emergency department visits and hospitalizations. Recognition of variables associated with suicidality among those with ID by clinicians may allow for enhanced assessment, treatment services and ultimately more positive mental health outcomes for this group.
本研究旨在更好地了解有自杀威胁或企图的智障人士。
从经历过危机的 751 名智障成年人中，对 39 名有自杀威胁的成年人和 28 名企图自杀的成年人的人口统计学和临床特征进行了比较，这些人与 337 名对他人有攻击性的成年人进行了比较。
试图自杀的人看起来与那些表达过自杀意愿的人相似，除了自杀未遂者更年轻，更有可能去急诊室。女性、功能水平较高的人以及有自残史的人自杀未遂或威胁自杀的可能性更高。
研究结果基于知情人报告的数据，因此无法验证医院的诊断和服务提供。
智障成年人确实会有自杀行为，可能会导致他们去急诊室就诊和住院。临床医生识别与智障人士自杀相关的变量，可能会有助于加强评估、治疗服务，并最终为这群人带来更积极的心理健康结果。
