Mitterauer B
Univ.-Prof. Dr. Bernhard Mitterauer Landesnervenklinik Salzburg.
Schweiz Arch Neurol Psychiatr (1985). 1989;140(2):125-46.
In the case of attempted suicide, the patient unconsciously and/or consciously manipulates people in his surroundings in communication-intending behaviour, whereas in the case of committed suicide, the patient shows communication-rejecting behaviour. This phenomenological description of suicidal behaviour is explained in a theory of communication in such a way that communication-intending behaviour is shown by the communication-style of aggression, and communication-rejecting behaviour is characterized by the communication-style of rejection. Finally an attempt is made to describe syndromically communication-intending behaviour, characteristic of attempted suicide, or communication-rejecting behaviour, typical for committed suicide, taking into account all essential psycho-biological components. This new instrument for estimating suicidality is used in a representative sample for Salzburg of 185 attempted suicides. It is thereby shown that a syndrome of purely communication-intending behaviour or a typical communication-rejection syndrome only occurs among a small percentage. In the majority of probands both psychodynamic and biological factors are responsible for the attempted suicide.
在自杀未遂的情况下，患者会在有意识和/或无意识的状态下，通过具有交流意图的行为来操纵周围的人；而在自杀成功的情况下，患者则表现出拒绝交流的行为。自杀行为的这种现象学描述在一种交流理论中得到了解释，即具有交流意图的行为表现为攻击型交流方式，而拒绝交流的行为则以拒绝型交流方式为特征。最后，考虑到所有重要的心理生物学成分，尝试从症状学角度描述自杀未遂所特有的具有交流意图的行为，或自杀成功所典型的拒绝交流的行为。这种用于评估自杀倾向的新工具在萨尔茨堡的185例自杀未遂的代表性样本中得到了应用。结果表明，纯粹的具有交流意图的行为综合征或典型的交流拒绝综合征只在一小部分人中出现。在大多数被试者中，心理动力学和生物学因素都与自杀未遂有关。
