Dingman C W, McGlashan T H
Acta Psychiatr Scand. 1986 Jul;74(1):91-7. doi: 10.1111/j.1600-0447.1986.tb06233.x.
Diagnostic, demographic, and outcome profiles were compared between psychiatric inpatients and former inpatients who ultimately committed suicide and those who did not. Results showed that the suicide group contained a greater preponderance of males and patients suffering from schizoaffective disorder or unipolar depression, and comparatively fewer patients with borderline personality disorder. The suicide group also had histories or symptoms indicative of affective difficulties, and premorbidly had achieved a higher IQ and higher levels of socioeconomic functioning. They also demonstrated higher levels of psychopathology on admission and their post-hospitalization courses were characterized by lower levels of functioning. The risk of suicide thus appeared to be correlated to illness virulence and to the magnitude of the loss of healthy functioning.
对精神科住院患者、最终自杀的既往住院患者和未自杀的既往住院患者的诊断、人口统计学和结局特征进行了比较。结果显示，自杀组中男性以及患有分裂情感障碍或单相抑郁症的患者占比更高，而患有边缘性人格障碍的患者相对较少。自杀组还有情感困难的病史或症状，病前智商较高，社会经济功能水平较高。他们入院时的精神病理学水平也较高，出院后的病程以功能水平较低为特征。因此，自杀风险似乎与疾病严重程度以及健康功能丧失的程度相关。
