Department of Dynamic, Clinical Psychology and Health Studies, "Sapienza"-University of Rome, 00185 Rome, Italy.
Child Neuropsychiatry Unit, Department of Neuroscience, I.R.C.C.S. Children Hospital Bambino Gesù, 27100 Rome, Italy.
Int J Environ Res Public Health. 2021 Sep 16;18(18):9761. doi: 10.3390/ijerph18189761.
Clinical and empirical research evidenced a complex link between pathological narcissism and the suicidal process in adulthood. Given the relevance of suicidality and the peculiar narcissistic vicissitudes of adolescence, the proposed research investigated the relationship between pathological narcissism analyzed from the multi-dimensional perspective of the Diagnostic Interview for Narcissism (DIN) and suicidal ideation conducted in a sample of Italian Adolescents.
One hundred and three Italian male and female adolescents between 12 and 18 were administered the DIN, SCIDII, CSSRS, and Kiddie-SADS with six months follow-up.
The correlation, -test, multiple regression analyses evidenced the association of narcissistic affective states and mood with both suicidal ideation and lethality of conduct. The increase in the dimension of grandiosity is associated with the passage to potentially highly lethal suicidal gestures.
Suicidal ideation and conduct seem to serve the function of restoring a sense of control and self-esteem in narcissistic individuals experiencing a state of affective dysregulation. Narcissistic pathological functioning seems to play an important role in the adolescent suicidal process, quite like adulthood. Assessing an adolescent's narcissistic functioning may provide useful clinical information in understanding and managing the suicidal risk in this phase of life.
临床和实证研究证明了病态自恋与成年人自杀过程之间存在复杂的联系。鉴于自杀的相关性和青春期特殊的自恋变化，拟议的研究调查了病理性自恋与自杀意念之间的关系，病理性自恋是从诊断性自恋访谈（DIN）的多维角度分析的，研究对象是意大利青少年。
103 名 12 至 18 岁的意大利男女青少年接受了 DIN、SCIDII、CSSRS 和 Kiddie-SADS 测试，并进行了六个月的随访。
相关性、检验、多元回归分析表明，自恋情感状态和情绪与自杀意念和行为的致命性有关。夸大维度的增加与潜在的高度致命自杀行为的转变有关。
自杀意念和行为似乎在调节情绪障碍状态下，为恢复自恋个体的控制感和自尊心发挥作用。病理性自恋功能在青少年自杀过程中似乎起着重要作用，与成年期相似。评估青少年的自恋功能可以为理解和管理这一生命阶段的自杀风险提供有用的临床信息。
