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战斗经历和退伍后心理社会状况作为越南退伍军人自杀的预测因素。

Combat experience and postservice psychosocial status as predictors of suicide in Vietnam veterans.

作者信息

Farberow N L, Kang H K, Bullman T A

机构信息

Los Angeles Suicide Prevention Center, Division of Family Services, Los Angeles.

出版信息

J Nerv Ment Dis. 1990 Jan;178(1):32-7. doi: 10.1097/00005053-199001000-00006.

DOI:10.1097/00005053-199001000-00006
PMID:2295886
Abstract

The authors examined potential risk factors for suicide among 38 Vietnam veterans using 46 Vietnam veterans who died from motor vehicle accidents as a comparison group. The veterans were selected from Los Angeles County Medical Examiner's file (1977-1982). Data for these veterans were obtained from military service records, the coroner's reports, and the psychological autopsy conducted with the decedents' family members. No military service factor was associated with suicide. The characteristics of Vietnam veteran suicide cases were not substantially different from non-Vietnam veteran suicide cases with respect to known demographic risk factors. The psychological profile of Vietnam veteran suicide cases are also similar to non-Vietnam veteran suicide cases in most instances. Symptoms related to posttraumatic stress disorder were observed more frequently among suicide cases than accident cases. However, suicides were not associated with specific combat experiences or military occupation. The extent of combat experience in Vietnam per se as measured in this study is not a good predictor of suicide death.

摘要

作者以46名死于机动车事故的越战老兵作为对照组,对38名越战老兵的自杀潜在风险因素进行了研究。这些老兵选自洛杉矶县法医档案(1977 - 1982年)。这些老兵的数据来自军事服役记录、验尸官报告以及与死者家属进行的心理解剖。没有军事服役因素与自杀相关。就已知的人口统计学风险因素而言,越战老兵自杀案例的特征与非越战老兵自杀案例没有实质性差异。在大多数情况下,越战老兵自杀案例的心理特征也与非越战老兵自杀案例相似。与创伤后应激障碍相关的症状在自杀案例中比在事故案例中更频繁地被观察到。然而,自杀与特定的战斗经历或军事职业无关。本研究中所衡量的越战战斗经历本身并不是自杀死亡的良好预测指标。

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