Woznica J G, Shapiro J R
Children's Hospital of Los Angeles, California.
J Pediatr Psychol. 1990 Dec;15(6):789-96. doi: 10.1093/jpepsy/15.6.789.
Assessed the concept of the "expendable child" syndrome proposed by Sabbath (1969) as a contributing factor in adolescent suicide attempts. It was hypothesized that suicidal adolescents would be rated higher on a measure of "expendability" than would a psychiatric control group of adolescents with no known history of suicide attempts or ideation. Forty adolescents, ages 13-24, who had been seen in psychotherapy at a teen-age health clinic, were rated by their psychotherapists on suicidality and a 12-item scale of expendability (a sense of being unwanted and/or a burden on the family). As predicted, suicidal adolescents received significantly higher ratings on the expendability measure than nonsuicidal adolescents. Results support the concept that feeling expendable is a characteristic of suicidal adolescents. Implications for prevention and treatment of adolescent suicidality are discussed.
评估了萨巴思（1969年）提出的“可牺牲儿童”综合征概念，该概念是青少年自杀未遂的一个促成因素。研究假设，与没有自杀未遂或自杀意念病史的青少年精神科对照组相比，有自杀倾向的青少年在“可牺牲性”测量上的得分会更高。40名年龄在13至24岁之间、曾在青少年健康诊所接受心理治疗的青少年，由他们的心理治疗师对其自杀倾向和一个包含12个项目的可牺牲性量表（一种不被需要和/或成为家庭负担的感觉）进行评分。正如预测的那样，有自杀倾向的青少年在可牺牲性测量上的得分显著高于无自杀倾向的青少年。结果支持了这样一种观念，即感到自己是可牺牲的是有自杀倾向青少年的一个特征。文中还讨论了对青少年自杀倾向预防和治疗的启示。
