Brüdern Juliane, Berger Thomas, Michel Konrad, Maillart Anja Gysin, Held Isabelle Schmutz, Caspar Franz
*University of Bern; and †University Hospital of Psychiatry, Bern, Switzerland.
J Nerv Ment Dis. 2015 Jul;203(7):514-21. doi: 10.1097/NMD.0000000000000321.
Limited research exists on internal risk processes in suicide attempters and factors that distinguish them from nonsuicidal depressive individuals. In this qualitative study, we investigated Plans, motives, and underlying self-regulatory processes of the two groups and conducted a comparative analysis. We analyzed narrative interviews of 17 suicide attempters and intake interviews of 17 nonsuicidal depressive patients using Plan Analysis. Then, we developed a prototypical Plan structure for both groups. Suicidal behavior serves various Plans found only in suicide attempters. Plans of this group are especially related to social perfectionism and withdrawal to protect their self-esteem. Depressive patients use several interpersonal control and coping strategies, which might help prevent suicidal behavior. The prototypical Plan structure of suicide attempters may be a valuable tool for clinicians to detect critical Plans and motives in their interaction with patients, which are related to suicide risk.
关于自杀未遂者的内部风险过程以及将他们与非自杀性抑郁个体区分开来的因素，现有研究有限。在这项定性研究中，我们调查了两组的计划、动机和潜在的自我调节过程，并进行了对比分析。我们使用计划分析方法，分析了17名自杀未遂者的叙述性访谈和17名非自杀性抑郁患者的入院访谈。然后，我们为两组制定了一个典型的计划结构。自杀行为服务于仅在自杀未遂者中发现的各种计划。该组的计划尤其与社会完美主义和为保护自尊而退缩有关。抑郁患者使用几种人际控制和应对策略，这可能有助于预防自杀行为。自杀未遂者的典型计划结构可能是临床医生在与患者互动中检测与自杀风险相关的关键计划和动机的宝贵工具。
