McNiel D E, Hatcher C, Reubin R
University of California, San Francisco.
Suicide Life Threat Behav. 1988 Summer;18(2):137-48. doi: 10.1111/j.1943-278x.1988.tb00148.x.
The impact of completed suicide on the surviving family was studied. Thirteen widows whose husbands had died through suicide were compared with 13 widows whose husbands had died in accidents. The widows' views of their families' functioning, and the extent of life stress and psychiatric symptoms experienced by the widows, were assessed. Interview data suggested more guilt and blaming in suicide survivor families. However, on standardized questionnaires, suicide survivors showed no more family dysfunction, life stress, or psychiatric symptomatology than accident survivors. Both groups acknowledged clinically significant levels of symptoms. The findings raise questions about the validity of generalizations based on the clinical literature regarding the uniquely pathogenic impact of suicide on family functioning.
研究了自杀身亡对在世家庭成员的影响。将13名丈夫自杀身亡的寡妇与13名丈夫死于意外事故的寡妇进行了比较。评估了这些寡妇对其家庭功能的看法,以及她们所经历的生活压力和精神症状的程度。访谈数据表明,自杀幸存者家庭中存在更多的内疚和指责情绪。然而,在标准化问卷上,自杀幸存者在家庭功能障碍、生活压力或精神症状方面并不比意外事故幸存者更严重。两组都承认存在具有临床意义的症状水平。这些发现对基于临床文献中关于自杀对家庭功能具有独特致病影响的概括的有效性提出了质疑。