DePaul University, USA.
J Health Psychol. 2020 Nov-Dec;25(13-14):2106-2117. doi: 10.1177/1359105318785450. Epub 2018 Jul 11.
Chronic illness is a risk factor for suicide but is often explained with depression. Research has shown an increased suicide rate in patients with myalgic encephalomyelitis and chronic fatigue syndrome, but specific risk factors have been unexplored. We qualitatively analyzed responses from 29 patients who endorsed suicidal ideation but did not meet depression criteria. Two themes were developed: (1) feeling trapped and (2) loss of self, loss of others, stigma and conflict. Myalgic encephalomyelitis and chronic fatigue syndrome caused patients severe disability, restructured their lives, and inflicted serious pain. Participants emphasized that they were not depressed, but felt trapped by the lack of treatments available.
慢性疾病是自杀的一个风险因素，但通常用抑郁症来解释。研究表明，肌痛性脑脊髓炎和慢性疲劳综合征患者的自杀率有所增加，但具体的风险因素尚未得到探索。我们对 29 名有自杀意念但不符合抑郁症标准的患者的回答进行了定性分析。得出了两个主题：（1）感到被困和（2）自我丧失、他人丧失、污名化和冲突。肌痛性脑脊髓炎和慢性疲劳综合征使患者严重残疾，重塑了他们的生活，并造成严重的痛苦。参与者强调他们没有抑郁，但感到被困于缺乏可用的治疗方法。
