Perry S, Jacobsberg L, Fishman B
Cornell University Medical College, New York Hospital, NY.
JAMA. 1990 Feb 2;263(5):679-82.
To examine the effect of human immunodeficiency virus antibody testing on suicidal ideation among physically asymptomatic subjects at perceived risk for infection, 244 men and 57 women completed the Beck Depression Inventory 2 weeks before and 1 week and 2 months after notification. All subjects received extensive pretest and posttest counseling. Among the 49 seropositive subjects, rates of suicidal ideation on item 9 of the Beck Depression Inventory were 28.6% at entry and 27.1% and 16.3% at the two follow-up assessments; none reported increased suicidal ideation at 2 months. Among the 252 seronegative subjects, suicidal ideation decreased from 30.6% at entry to 17.1% and 15.9% at 1 week and 2 months after notification, respectively. Suicidal ideation correlated with modified Beck Depression Inventory scores (r = .50 to .55). Among the 4.7% of seropositives and seronegatives with suicidal wishes or intent at any assessment, average modified Beck Depression Inventory scores (mean, 17.1) suggested a clinical depression.
为研究人类免疫缺陷病毒抗体检测对自认为有感染风险的无症状个体自杀意念的影响，244名男性和57名女性在被告知检测结果前2周、1周及2个月后完成了贝克抑郁量表测试。所有受试者在测试前后均接受了全面的咨询。在49名血清反应阳性的受试者中，贝克抑郁量表第9项中自杀意念的发生率在初始时为28.6%，在两次随访评估中分别为27.1%和16.3%；在2个月时无人报告自杀意念增加。在252名血清反应阴性的受试者中，自杀意念从初始时的30.6%分别降至被告知检测结果1周及2个月后的17.1%和15.9%。自杀意念与修正版贝克抑郁量表得分相关（r = 0.50至0.55）。在任何一次评估中有自杀意愿或意图的血清反应阳性和阴性受试者中，修正版贝克抑郁量表的平均得分（均值为17.1）表明存在临床抑郁。
