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报告自杀未遂情况:一项大型心理健康研究中的一致性及其决定因素

Reporting suicide attempts: consistency and its determinants in a large mental health study.

作者信息

Eikelenboom Merijn, Smit Johannes H, Beekman Aartjan T F, Kerkhof Ad J F M, Penninx Brenda W J H

机构信息

Department of Psychiatry and the EMGO Institute for Health and Care Research, VU University Medical Center Amsterdam/GGZ in Geest, Amsterdam, The Netherlands.

出版信息

Int J Methods Psychiatr Res. 2014 Jun;23(2):257-66. doi: 10.1002/mpr.1423. Epub 2014 Feb 25.

Abstract

A lifetime history (LTH) of suicide attempts (SAs) is frequently assessed in mental health surveys. However, little is known about the reliability of assessing a LTH of SA. This study examined the consistency and its determinants of reporting a LTH of SA in a large cohort of persons with a history of depression and/or anxiety. Data are from the baseline and two-year assessments of the Netherlands Study of Depression and Anxiety. Persons with a Composite International Diagnostic Interview (CIDI)-based lifetime depressive and/or anxiety disorder (N = 1973) constitute the study sample. A LTH of SAs was assessed at baseline and at two-year follow-up. Of the persons who reported at either interview a LTH of SAs, more than one-third did not report this consistent at both interviews. Moreover, indications were found for more consistent reporting among persons with a higher number of SAs and among persons with current (severe) psychopathology as compared to those with remitted or less severe current psychopathology. Our results showed that even a salient topic as a history of SAs is prone for reporting errors, and that current psychological state influences reporting of a LTH of SAs.

摘要

在心理健康调查中,经常会评估自杀未遂的终生史(LTH)。然而,关于评估自杀未遂终生史的可靠性却知之甚少。本研究在一大群有抑郁和/或焦虑病史的人群中,考察了报告自杀未遂终生史的一致性及其决定因素。数据来自荷兰抑郁与焦虑研究的基线评估和两年期评估。基于复合国际诊断访谈(CIDI)的终生抑郁和/或焦虑障碍患者(N = 1973)构成了研究样本。在基线和两年随访时评估自杀未遂的终生史。在两次访谈中报告有自杀未遂终生史的人中,超过三分之一在两次访谈中报告不一致。此外,与病情缓解或当前病情较轻的人相比,自杀未遂次数较多的人和当前有(严重)精神病理学症状的人报告的一致性更高。我们的结果表明,即使是像自杀未遂史这样突出的话题也容易出现报告错误,而且当前的心理状态会影响自杀未遂终生史的报告。

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