Kušević Zorana, Ćusa Bjanka Vuksan, Babić Goran, Marčinko Darko
Department of Psychological Medicine, University Hospital Center Zagreb, Kišpatićeva 12, 10000 Zagreb, Croatia,
Psychiatr Danub. 2015 Dec;27(4):420-3.
To investigate the possibility if alexithymia could be used as a predictor of attempted suicide among patients suffering from post-traumatic stress disorder.
The study was based on 127 veterans from the 1991-1995 war in Croatia. All the patients involved in this study were previously diagnosed with PTSD. The questionnaires (socio-demographic questionnaire, Mississippi scale for combat related PTSD questionnaire, and 20-item Toronto Alexithymia Scale questionnaire) were administered by investigators.
The results suggest that alexithymia was significantly associated with attempted suicide (P=0.020). Furthermore, alexithymia remained a significant predictor of an attempted suicide even in the multivariate regression model, which yielded an odds ratio (OR) of 2.87 (95% confidence intervals 1.18-7.00).
These results point out that alexithymia can be considered as a potential risk factor for suicide in this population, suggesting that it may also be used as an indicator of worsening psychological status and attempted suicide in other population groups with higher alexithymia prevalence.
探讨述情障碍是否可作为创伤后应激障碍患者自杀未遂的预测指标。
该研究基于1991 - 1995年克罗地亚战争中的127名退伍军人。本研究纳入的所有患者先前均被诊断为创伤后应激障碍。问卷（社会人口学问卷、与战斗相关的创伤后应激障碍密西西比量表问卷以及20项多伦多述情障碍量表问卷）由调查人员发放。
结果表明述情障碍与自杀未遂显著相关（P = 0.020）。此外，即使在多变量回归模型中，述情障碍仍是自杀未遂的显著预测指标，其优势比（OR）为2.87（95%置信区间1.18 - 7.00）。
这些结果指出，述情障碍可被视为该人群自杀的潜在危险因素，这表明在述情障碍患病率较高的其他人群中，它也可能用作心理状态恶化和自杀未遂的指标。
