Szabó János, Vörös Viktor, Molnár Csilla, Fekete Sándor, Tényi Tamás, Osváth Péter
1 Pécsi Tudományegyetem, Általános Orvostudományi Kar, Klinikai Központ, Pszichiátriai és Pszichoterápiás Klinika Pécs, Rét utca 2., 7623 Magyarország.
Orv Hetil. 2022 May 29;163(22):863-870. doi: 10.1556/650.2022.32464.
There is still little reliable information about the psychological processes underlying suicidal behaviour, and suicide risk assessment scales also have only limited predictive value. However, the recently described suicide-specific syndromes such as acute suicidal affective disorder (ASAD) and suicide crisis syndrome (SCS) open up new possibilities for a complex interpretation and prediction of suicidal behaviour. We briefly summarize modern theoretical approaches explaining the development of suicidal behaviour, the possibilities of predicting suicide risk, and contemporary methods of assessing pre-suicidal psychopathological symptoms, highlighting the suicide-specific syndromes and their screening tools. The results of the systematic review of the suicide-specific syndrome literature indicate that both the ASAD construct and the SCS may be helpful in predicting suicidal behaviour and they correlate with other similar questionnaires. Suicide-specific syndromes and the measurement tools are proven to be effective in theoretical research as well as in the field of clinical applicability in the prediction of suicidal behaviour, so their adaptation and application in Hungary may be recommended.
关于自杀行为背后的心理过程,目前仍缺乏可靠信息,自杀风险评估量表的预测价值也有限。然而,最近描述的自杀特异性综合征,如急性自杀性情感障碍(ASAD)和自杀危机综合征(SCS),为复杂解释和预测自杀行为开辟了新的可能性。我们简要总结了解释自杀行为发展的现代理论方法、预测自杀风险的可能性以及评估自杀前心理病理症状的当代方法,重点介绍了自杀特异性综合征及其筛查工具。对自杀特异性综合征文献的系统评价结果表明,ASAD结构和SCS在预测自杀行为方面可能都有帮助,并且它们与其他类似问卷相关。自杀特异性综合征及其测量工具在理论研究以及自杀行为预测的临床应用领域都被证明是有效的,因此建议在匈牙利进行调整和应用。