Dingman C W, McGlashan T H
Chestnut Lodge Hospital, Rockville, Maryland 20850.
Hosp Community Psychiatry. 1988 Mar;39(3):295-9. doi: 10.1176/ps.39.3.295.
Patients in a long-term follow-up study who had made a serious suicide threat or attempt before admission were further studied to determine if there were characteristics that discriminated between those who ultimately committed suicide and those who did not. The results showed that patients who committed suicide were more likely to have a DSM-III axis I diagnosis, to be male, and to be discharged against medical advice. Those alive at follow-up were more likely to have a borderline personality disorder, to be female, impulsive, and self-mutilating, to be discharged with medical advice, and to have a healthier postdischarge course.
在一项长期随访研究中，对入院前曾发出严重自杀威胁或有过自杀企图的患者进行了进一步研究，以确定是否存在能够区分最终自杀的患者和未自杀患者的特征。结果显示，自杀的患者更有可能被诊断为《精神疾病诊断与统计手册》第三版轴I障碍，为男性，且违反医嘱出院。随访时仍存活的患者更有可能患边缘性人格障碍，为女性，有冲动和自我伤害行为，按医嘱出院，且出院后的病程更健康。
