Shafiee-Kandjani Ali Reza, Amiri Shahrokh, Arfaie Asghar, Ahmadi Azadeh, Farvareshi Mahmoud
Clinical Psychiatry Research Center, Department of Psychiatry, Tabriz University of Medical Sciences, Tabriz, Iran.
Child and Adolescent Psychiatry, Clinical Psychiatry Research Center, Department of Psychiatry, Tabriz University of Medical Sciences, Tabriz, Iran; Department of Psychiatry, Razi Mental Hospital, El Goli Boulevard, P.O. Box 5456, Tabriz 51677, Iran.
Int Sch Res Notices. 2014 Nov 20;2014:675480. doi: 10.1155/2014/675480. eCollection 2014.
Objectives. Inflexible personality traits play an important role in the development of maladaptive behaviors among patients who attempt suicide. This study was conducted to investigate the relationship between personality profiles and suicide attempt via medicine poisoning among the patients hospitalized in a public hospital. Materials and Methods. Fifty-nine patients who attempted suicide for the first time and hospitalized in the poisoning ward were selected as the experimental group. Sixty-three patients hospitalized in the other wards for a variety of reasons were selected as the adjusted control group. Millon Clinical Multiaxial Personality Inventory, 3rd version (MCMI-III) was used to assess the personality profiles. Results. The majority of the suicide attempters were low-level graduates (67.8% versus 47.1%, OR = 2.36). 79.7% of the suicide attempters were suffering from at least one maladaptive personality profile. The most common maladaptive personality profiles among the suicide attempters were depressive personality disorder (40.7%) and histrionic personality disorder (32.2%). Among the syndromes the most common ones were anxiety clinical syndrome (23.7%) and major depression (23.7%). Conclusion. Major depression clinical syndrome, histrionic personality disorder, anxiety clinical syndrome, and depressive personality disorder are among the predicators of first suicide attempts for the patients hospitalized in the public hospital due to the medicine poisoning.
目的。在自杀未遂的患者中，僵化的人格特质在适应不良行为的发展中起重要作用。本研究旨在调查一家公立医院住院患者的人格特征与药物中毒自杀未遂之间的关系。材料与方法。选取59例首次自杀未遂并入住中毒病房的患者作为实验组。选取63例因各种原因入住其他病房的患者作为调整对照组。采用米隆临床多轴人格量表第三版（MCMI-III）评估人格特征。结果。大多数自杀未遂者为低学历者（67.8%对47.1%，OR = 2.36）。79.7%的自杀未遂者至少有一种适应不良的人格特征。自杀未遂者中最常见的适应不良人格特征是抑郁型人格障碍（40.7%）和表演型人格障碍（32.2%）。在综合征中，最常见的是焦虑临床综合征（23.7%）和重度抑郁症（23.7%）。结论。重度抑郁症临床综合征、表演型人格障碍、焦虑临床综合征和抑郁型人格障碍是因药物中毒入住公立医院患者首次自杀未遂的预测因素。
