Suicidal Behaviour Research Laboratory, Institute of Health & Wellbeing, University of Glasgow, Glasgow, Scotland.
Curr Psychiatry Rep. 2023 Sep;25(9):405-417. doi: 10.1007/s11920-023-01440-w. Epub 2023 Aug 29.
This systematic review aimed to distil recent literature investigating psychosocial factors which may account for the association between personality disorder (PD) and suicide attempt or suicide death.
Suicide risk is particularly elevated in people with PD compared to those with no, or many other, mental health diagnoses. Despite this, suicide prevention strategies for PD populations have not progressed markedly in recent years. It is critical, therefore, to identify additional factors associated with suicide in PD populations. Of the 34 studies included in this review, most identified a relationship between personality disorder and suicide attempt and/or death. Historical interpersonal factors (e.g., childhood trauma), drug and alcohol use, and ideation-to-enaction factors were commonly associated with suicide-related outcomes. Interventions that provide interpersonal support may reduce suicide attempts. Limitations of the review include the heterogeneity of studies and small sample sizes.
本系统综述旨在梳理近期研究，以探讨可能解释人格障碍（PD）与自杀未遂或自杀死亡之间关联的心理社会因素。
与无精神健康诊断或有其他许多精神健康诊断的人群相比，PD 人群的自杀风险特别高。尽管如此，近年来针对 PD 人群的自杀预防策略并没有明显进展。因此，确定与 PD 人群自杀相关的其他因素至关重要。在本综述纳入的 34 项研究中，大多数研究发现 PD 与自杀未遂和/或死亡之间存在关联。历史人际因素（例如，儿童时期创伤）、药物和酒精使用以及意向到行动因素通常与与自杀相关的结局相关。提供人际支持的干预措施可能会减少自杀未遂。本综述的局限性包括研究的异质性和样本量小。
