Department of Psychiatry, Mackay Memorial Hospital, Taipei, Taiwan; Department of Medicine, Mackay Medical College, Taipei, Taiwan; Department of Medical Research, Mackay Memorial Hospital, Taipei, Taiwan; Mackay Junior College of Medicine, Nursing and Management, Taipei, Taiwan.
Department of Psychiatry, Mackay Memorial Hospital, Taipei, Taiwan; Department of Medicine, Mackay Medical College, Taipei, Taiwan; Mackay Junior College of Medicine, Nursing and Management, Taipei, Taiwan.
Psychiatry Res. 2017 Jul;253:260-266. doi: 10.1016/j.psychres.2017.04.003. Epub 2017 Apr 4.
Suicide is a major social and clinical problem in Asia. Although studies have suggested that personality traits are possible risk factors for suicide, no study has been conducted among Chinese to compare the temperament traits of suicidal and non-suicidal mood disorder patients with those of healthy controls. This study compared temperament traits of two patient groups, those with a mood disorder who have attempted suicide (n=204), and those with a mood disorder who have not attempted suicide (n=160), and compared the traits of these patients to those of healthy controls (n=178), assessed by Cloninger's Tridimensional Personality Questionnaire and the Brown-Goodwin Aggression Inventory. Patients with suicidal attempts had significantly higher novelty seeking and aggression scores than healthy controls and patients without suicidal attempts. Two groups of patients with mood disorder had significantly higher harm avoidance scores than the healthy controls. However, patients with suicidal attempts did not have higher harm avoidance scores than patients without suicidal attempts. This study confirms findings that harm avoidance and mood disorder are related, and extends them by suggesting that those with a mood disorder and suicide attempts have higher novelty seeking and lifetime aggression scores than those without suicidal attempt, either patients or healthy controls.
自杀是亚洲地区一个重大的社会和临床问题。虽然已有研究提示人格特质可能是自杀的一个危险因素，但在中国人中尚未进行过比较有自杀意念和无自杀意念心境障碍患者与健康对照者之间气质特征的研究。本研究比较了两组患者的气质特征，一组为有自杀意念的心境障碍患者（n=204），另一组为无自杀意念的心境障碍患者（n=160），并将这些患者的特征与健康对照者（n=178）进行比较，采用 Cloninger 的三维人格问卷和 Brown-Goodwin 攻击性量表进行评估。有自杀意念的患者的新奇寻求和攻击性得分显著高于健康对照者和无自杀意念的患者。两组心境障碍患者的回避伤害得分显著高于健康对照组。然而，有自杀意念的患者的回避伤害得分并不高于无自杀意念的患者。本研究证实了回避伤害和心境障碍相关的发现，并通过提示有心境障碍和自杀意念的患者比无自杀意念的患者（无论是患者还是健康对照者）具有更高的新奇寻求和终生攻击性得分，扩展了这些发现。
