Wolk-Wasserman D
Acta Psychiatr Scand. 1986 May;73(5):481-99. doi: 10.1111/j.1600-0447.1986.tb02715.x.
Forty consecutively admitted suicide attempt patients in an intensive care unit, their therapists, and 70 significant others of 37 of the patients, were investigated by means of 300 semi-structured interviews. The patients belonged to three diagnostic groups: neurosis, alcohol and drug abuse, and prepsychosis/psychosis. Thirty-seven of the patients had communicated their suicidal intentions to people around them. All patients used protracted indirect verbal communication. Immediately before the suicide attempt, most of the neurotics continued often to indirect verbal communication, amplified by demanding behaviour. Drug and alcohol abusers, moreover, also employed direct verbal communication, and prepsychosis/psychosis patients indirect non-verbal communication. The majority of significant others understood the patients' suicidal communication and responded with near-total silence. Ambivalence about continuing the relationship characterised most partners of patients in all diagnostic groups, and also persons other than partners in the abuse group. Ambivalence about helping the patient, and aggression expressed by significant others were most prevalent in the abuse group.
对重症监护病房中连续收治的40名自杀未遂患者、他们的治疗师以及37名患者的70名重要他人进行了调查，共进行了300次半结构化访谈。这些患者分为三个诊断组：神经症、酒精和药物滥用以及精神病前期/精神病。其中37名患者向周围的人透露了他们的自杀意图。所有患者都采用了冗长的间接言语交流方式。就在自杀未遂前，大多数神经症患者常常继续进行间接言语交流，并伴有苛求行为。此外，药物和酒精滥用者还采用了直接言语交流，而精神病前期/精神病患者则采用了间接非言语交流。大多数重要他人理解患者的自杀性交流，并几乎完全沉默以对。在所有诊断组中，大多数患者的伴侣以及滥用组中除伴侣之外的其他人对维持关系都表现出矛盾心理。在滥用组中，对帮助患者的矛盾心理以及重要他人表现出的攻击性最为普遍。
