Department of Psychiatry, Jawaharlal Institute of Post Graduate Medical Education and Research (JIPMER), Puducherry, India.
Crisis. 2013 Jan 1;34(4):282-8. doi: 10.1027/0227-5910/a000203.
Intent in attempted suicide is considered an indicator of subsequent suicide. Few studies in developing countries have examined correlates of suicidal intent among young adults.
This study aimed to assess the intent score among a sample of young suicide attempters from South India and to identify the factors associated with suicide intent among them.
The clinical charts of 64 consecutive subjects aged 15-24 years attending emergency services for attempted suicide were reviewed. All participants completed a semistructured proforma, the Presumptive Stressful Life Events Scale, the Beck Hopelessness Scale, the Pierce Suicide Intent Scale, and the Global Assessment of Functioning Scale. Psychiatric diagnoses were made according to the ICD-10 clinical descriptions and diagnostic guidelines.
The intent scores were in the moderate-to-high range for most subjects. Suicide intent score significantly varied depending on the presence or absence of psychiatric morbidity. In bivariate analysis, psychiatric morbidity and hopelessness correlated positively with suicide intent, and in linear regression, hopelessness emerged as a predictor of suicide intent.
A high intent of suicide in young is associated with psychiatric morbidity and presence of hopelessness. Hopelessness may be a key predictor of suicidal intent. Assessment of suicidal intent and hopelessness among young attempters is important and may help identify high-risk individuals who need intensive interventions.
自杀意图被认为是随后自杀的一个指标。在发展中国家，很少有研究调查年轻人自杀意图的相关因素。
本研究旨在评估来自印度南部的年轻自杀未遂者样本中的意图评分，并确定与他们的自杀意图相关的因素。
对 64 名年龄在 15-24 岁之间因自杀而到急诊室就诊的连续患者的临床图表进行了回顾。所有参与者都完成了半结构化的表格，包括推测性应激生活事件量表、贝克绝望量表、皮尔斯自杀意图量表和全面功能评估量表。根据 ICD-10 临床描述和诊断指南进行精神病学诊断。
大多数患者的意图评分处于中等到高的范围。自杀意图评分显著取决于是否存在精神疾病。在双变量分析中，精神疾病和绝望与自杀意图呈正相关，在线性回归中，绝望成为自杀意图的预测因素。
年轻人的高自杀意图与精神疾病和存在绝望有关。绝望可能是自杀意图的关键预测因素。对年轻未遂者自杀意图和绝望的评估很重要，可能有助于识别需要强化干预的高危个体。
