青少年自杀中的精神障碍。《精神疾病诊断与统计手册第三版修订本》第一轴和第二轴。

Mental disorder in youth suicide. DSM-III-R Axes I and II.

作者信息

Runeson B

机构信息

Department of Psychiatry, University of Gothenburg, Sahlgren's Hospital, Sweden.

出版信息

Acta Psychiatr Scand. 1989 May;79(5):490-7. doi: 10.1111/j.1600-0447.1989.tb10292.x.

DOI:10.1111/j.1600-0447.1989.tb10292.x

PMID:2750550

Abstract

A 3-year urban material of suicides in adolescents and young adults (age 15-29 years) was studied retrospectively by means of interviews with survivors (n = 58). Classification of mental disorders according to DSM-III-R showed that major depression was important as background to suicides in 41%, primary (22%) or secondary (19%) to other disorders. Adding major depression, depressive disorder, not otherwise specified, dysthymia and adjustment disorder with depressed mood gave a total of 64% depressive syndromes. Schizophrenia (14%) and borderline personality disorder (28%) constituted other relevant groups. Coexisting substance use disorder occurred in 47%. A majority of the subjects (72%) were known by psychiatric caregivers and 16% committed suicide during inpatient care.

摘要

通过对58名幸存者进行访谈，对一份为期3年的城市青少年和青年（15 - 29岁）自杀资料进行了回顾性研究。根据《精神疾病诊断与统计手册》第三版修订本（DSM - III - R）对精神障碍进行分类显示，重度抑郁症作为自杀背景因素在41%的案例中较为重要，原发性（22%）或继发性（19%）于其他障碍。将重度抑郁症、未另行规定的抑郁症、心境恶劣障碍以及伴有抑郁情绪的适应障碍相加，抑郁综合征总计占64%。精神分裂症（14%）和边缘型人格障碍（28%）构成其他相关群体。47%的案例存在并存的物质使用障碍。大多数受试者（72%）为精神科护理人员所熟知，16%在住院治疗期间自杀。