Slotema C W, Niemantsverdriet M B A, Blom J D, van der Gaag M, Hoek H W, Sommer I E C
Parnassia Psychiatric Institute, The Hague, The Netherlands.
Parnassia Psychiatric Institute, The Hague, The Netherlands.
Eur Psychiatry. 2017 Mar;41:47-52. doi: 10.1016/j.eurpsy.2016.10.003. Epub 2017 Feb 3.
In patients with borderline personality disorder (BPD), about 22-50% experience auditory verbal hallucinations (AVH). However, the impact of these hallucinations on suicidal ideation, suicide attempts, crisis-service interventions, and hospital admissions is unknown.
In a cross-sectional design, data were collected with the Psychotic Symptom Rating Scales (PSYRATS) and the MINI International Neuropsychiatric Interview Plus, as well as from the medical records of a convenience sample of outpatients fulfilling the DSM-IV criteria for BPD.
Of the 89 included patients, 27 experienced AVH. In the latter group, the presence of AVH was associated with a significantly higher incidence of suicidal plans and attempts in the month prior to study participation, more hospitalisations, and a shorter interval until hospitalisation. All subscales of the PSYRATS correlated positively with suicide plans, while the phenomenological and emotional subscales also correlated positively with suicide attempts. Moreover, higher scores on the emotional subscale were associated with more hospital admissions.
AVH experienced by patients with BPD might constitute a risk factor for suicide plans and attempts, and hospitalisation. This finding emphasises that this population requires adequate clinical attention, as well as effective treatment for AVH.
在边缘型人格障碍（BPD）患者中，约22%-50%会出现言语性幻听（AVH）。然而，这些幻听对自杀意念、自杀未遂、危机服务干预和住院治疗的影响尚不清楚。
采用横断面设计，使用精神病症状评定量表（PSYRATS）和简明国际神经精神访谈升级版收集数据，并从符合DSM-IV标准的BPD门诊便利样本的病历中获取数据。
在纳入的89例患者中，27例出现言语性幻听。在后者组中，言语性幻听的存在与研究参与前一个月自杀计划和未遂的发生率显著较高、更多的住院治疗以及更短的住院间隔时间相关。PSYRATS的所有子量表与自杀计划呈正相关，而现象学和情感子量表也与自杀未遂呈正相关。此外，情感子量表得分越高，住院次数越多。
BPD患者经历的言语性幻听可能是自杀计划、未遂和住院治疗的危险因素。这一发现强调，这一人群需要足够的临床关注以及对言语性幻听的有效治疗。
