Ennis J, Barnes R A, Kennedy S, Trachtenberg D D
Department of Psychiatry, Toronto General Hospital, Ontario, Canada.
Br J Psychiatry. 1989 Jan;154:41-7. doi: 10.1192/bjp.154.1.41.
DSM-III diagnoses and responses to the Beck Depression Inventory (BDI) were examined in 71 consecutive admissions to an in-patient psychiatric crisis service following deliberate self-harm. Although 80% of the admitted patients were moderately or severely depressed according to BDI scores, only 31% were diagnosed with a major depressive episode. While all of the self-harm patients may be viewed as experiencing severe subjective distress, only a minority were shown to suffer from DSM-III depressive illness. The high depression scores on the BDI may be related to the patients' extreme distress preceding a crisis admission and to the high prevalence of personality disorders in this group of patients.
对71名因蓄意自残而连续入住住院精神科危机服务机构的患者进行了DSM-III诊断以及对贝克抑郁量表（BDI）的反应检查。根据BDI评分，虽然80%的入院患者有中度或重度抑郁，但只有31%被诊断为重度抑郁发作。虽然所有自残患者都可被视为经历了严重的主观痛苦，但只有少数患者被证明患有DSM-III抑郁疾病。BDI上的高抑郁评分可能与危机入院前患者的极度痛苦以及该组患者中人格障碍的高患病率有关。
