Beck A T, Steer R A, Trexler L D
Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia 19104.
J Stud Alcohol. 1989 May;50(3):202-9. doi: 10.15288/jsa.1989.50.202.
Of 161 alcohol-abusing patients who were hospitalized for suicide attempts (attempters) between 1970 and 1975 and followed until 1982, 18 eventually committed suicide. The 143 nonsuiciders were compared to the 18 with respect to 27 background characteristics including their psychiatric diagnosis, Beck Depression Inventory, Hopelessness Scale, and Suicidal Intent Scale (SIS) scores. Only the SIS precautions subscale differentiated those who did and did not eventually commit suicide: the patients who eventually killed themselves had described taking more precautions against discovery at the time of their index attempts than did those who did not commit suicide. Possible explanations for the absence of a relationship between hopelessness or depression with ultimate suicide are discussed.
在1970年至1975年间因自杀未遂而住院的161名酗酒患者（未遂者）中，有18人最终自杀。将143名未自杀者与18名自杀者在27项背景特征方面进行了比较，这些特征包括他们的精神科诊断、贝克抑郁量表、绝望量表和自杀意图量表（SIS）得分。只有SIS预防措施子量表能够区分最终自杀和未自杀的患者：最终自杀的患者在其首次自杀未遂时描述采取了比未自杀者更多的防止被发现的预防措施。文中讨论了绝望或抑郁与最终自杀之间不存在关联的可能解释。
