Farmer R, Creed F
Drug Dependence Clinic, University College Hospital, London.
Br J Psychiatry. 1989 Mar;154:390-5. doi: 10.1192/bjp.154.3.390.
Life events in 82 self-poisoning subjects were studied using the Bedford College LEDS to see whether there was a difference between those who had a clear depressive syndrome (according to the Present State Examination) and the remainder. Equally high levels of severely threatening events were found in the depressed and non-depressed groups, but the former were older, had experienced more chronic difficulties and had been treated more often in the past for depression. Greatest numbers of life events were found in those with high levels of extrapunitiveness (recorded on the HDHQ), whereas those who had not experienced a severe life event showed predominance of intropunitiveness. Suicidal intent was not related to experience of life events, but has previously been shown to be associated with high intropunitiveness. The findings are discussed in the light of current theories linking life events, depression and parasuicide, and emphasise the need for longitudinal studies to examine these factors in relation to repeated parasuicide.
使用贝德福德学院生活事件和困难量表（LEDS）对82名自我中毒患者的生活事件进行了研究，以观察患有明确抑郁综合征（根据目前状态检查）的患者与其余患者之间是否存在差异。在抑郁组和非抑郁组中发现了同样高水平的严重威胁性事件，但前者年龄更大，经历了更多慢性困难，过去因抑郁症接受治疗的次数更多。在高外向攻击性（根据敌意和防御量表记录）的患者中发现的生活事件数量最多，而那些没有经历过严重生活事件的患者则以内向攻击性为主。自杀意图与生活事件的经历无关，但此前已证明与高内向攻击性有关。根据目前将生活事件、抑郁症和准自杀联系起来的理论对这些发现进行了讨论，并强调需要进行纵向研究，以研究这些因素与反复准自杀的关系。
