Yaqoob Naila, Ahsan Sadaf
Major Dr. Naila Yaqoob, Clinical Psychologist, CMH Multan, Pakistan.
Dr. Sadaf Ahsan Associate Professor, Foundation University, Islamabad, Pakistan.
Pak J Med Sci. 2023 Mar-Apr;39(2):491-496. doi: 10.12669/pjms.39.2.6140.
The present research examined the impact of mood disorder and personality disorders on suicide intent among self-harm patients using cross sectional research design.
A clinical sample of 220 self-harm inpatients with age of 18 to 35 years was collected through purposive sampling technique from different mental health departments of Rawalpindi, Jhelum and Multan hospitals. Study was conducted from June 2019 till November, 2021. Data was compiled in three steps. In step-I, rapport was established with patients and identification of intent was carried out by administering Beck Suicide Intent Scale. In step-II, mental illness was identified by administering Mood Disorder Questionnaire, Personality Diagnostic Questionnaire and subscale of Depression from Depression Anxiety and Stress Scale. In step-III, in order to confirm his / her responses and diagnosis, a detailed semi-structured clinical interview was carried out with each participant who responded positively to Personality Diagnostic Questionnaire.
Results revealed that bipolar spectrum disorder, depression and antisocial personality disorder were significantly positive predictors of suicide intent among self-harm patients. On the other hand, narcissistic personality disorder and borderline personality disorder were found to be significantly negative predictors of suicide intent among self-harm patients.
Results of current research highlighted those predisposing factors that discriminate self-harm from attempted suicide. The study has important implications for identification of intent of self-harm patients, which could help in devising a proper treatment plan for the management of such challenging patients.
本研究采用横断面研究设计,探讨情绪障碍和人格障碍对自我伤害患者自杀意图的影响。
通过立意抽样技术,从拉瓦尔品第、杰赫勒姆和木尔坦医院的不同精神卫生科收集了220名年龄在18至35岁之间的自我伤害住院患者的临床样本。研究于2019年6月至2021年11月进行。数据收集分三个步骤进行。第一步,与患者建立融洽关系,并通过使用贝克自杀意图量表来确定意图。第二步,通过使用情绪障碍问卷、人格诊断问卷以及抑郁焦虑压力量表中的抑郁分量表来确定精神疾病。第三步,为了确认其回答和诊断结果,对人格诊断问卷回答呈阳性的每位参与者进行详细的半结构化临床访谈。
结果显示,双相谱系障碍、抑郁症和反社会人格障碍是自我伤害患者自杀意图的显著正向预测因素。另一方面,自恋型人格障碍和边缘型人格障碍被发现是自我伤害患者自杀意图的显著负向预测因素。
当前研究结果突出了那些区分自我伤害和自杀未遂的诱发因素。该研究对于识别自我伤害患者的意图具有重要意义,这有助于为管理此类具有挑战性的患者制定适当的治疗方案。