Australian Institute for Suicide Research and Prevention, National Centre of Excellence in Suicide Prevention and WHO Collaborating Centre for Research and Training in Suicide Prevention, Griffith University, Mt Gravatt, QLD, Australia.
Int J Soc Psychiatry. 2017 Mar;63(2):151-160. doi: 10.1177/0020764016688041. Epub 2017 Jan 23.
As young Australian males are at a high risk of suicide, the identification of risk factors other than psychopathology is vital for the development of comprehensive suicide prevention measures.
The study investigated whether there were differences in risk factors and pathways to suicide in young adult males from Queensland, Australia, with and without a diagnosable psychiatric disorder.
A case-control, psychological autopsy method was applied using a control group of young males who had died suddenly from causes other than suicide.
Suicide cases without a psychiatric diagnosis more frequently displayed behaviours indicative of their suicidality (such as previous attempts, disposing of possessions and making statements of hopelessness) than controls without a diagnosis. Suicides without a diagnosis also displayed more 'difficult' personality traits, such as higher levels of neuroticism and aggression. They also experienced poorer quality of life and were significantly more likely than their controls to have experienced a recent separation from a spouse or partner.
The results of this study confirmed the existence of several distinct characteristics of young males who die by suicide in the absence of any diagnosable psychiatric disorder.
由于年轻的澳大利亚男性自杀风险较高，因此确定除精神病理学以外的风险因素对于制定全面的自杀预防措施至关重要。
本研究旨在调查澳大利亚昆士兰州有和没有可诊断精神障碍的年轻成年男性在自杀风险因素和途径方面是否存在差异。
采用病例对照、心理解剖方法，以因其他原因而非自杀而突然死亡的年轻男性为对照组。
没有精神科诊断的自杀者比没有诊断的对照组更频繁地表现出表明其自杀倾向的行为（如先前的尝试、处理财物和表达绝望）。没有诊断的自杀者还表现出更多“困难”的人格特质，如更高水平的神经质和攻击性。他们的生活质量也较差，与对照组相比，他们最近与配偶或伴侣分手的可能性明显更高。
本研究的结果证实了在没有任何可诊断的精神障碍的情况下，年轻男性自杀者存在一些明显的特征。
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