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一组有自杀意念和/或自杀未遂的青少年患者的多相人格评估

Multiphasic Personality Assessment in a Case Series of Adolescent Patients with Suicidal Ideation and/or Attempts.

作者信息

Cossu Giulia, Vecchio Arianna, Orlandi Marika, Casini Erica, Borgatti Renato, Mensi Martina Maria

机构信息

Department of Brain and Behavioural Sciences, University of Pavia, 27100 Pavia, Italy.

Child Neurology and Psychiatry Unit, IRCCS Mondino Foundation, 27100 Pavia, Italy.

出版信息

Children (Basel). 2023 Nov 8;10(11):1794. doi: 10.3390/children10111794.

Abstract

Suicide is an important public health issue. To examine the differences in personality characteristics between a group of adolescents with suicidal ideation (SI) and a group with a history of suicidal attempts (SA), we conducted a cross-sectional study. We enrolled 55 adolescents (51 females; 12-18 y.o.) who presented SI and/or SA. Using the Columbia Suicide Severity Rating Scale, we divided the sample into two groups: adolescents with SI and adolescents with SA. All participants filled in the Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A). Adolescents in the SA group had greater difficulties in social relations, risky behaviors, and more intense suicidal ideation compared to those in the SI group. Adolescents in the SA group scored higher in Omission, in the Lie Scale, the Conduct Problem Scale, the Less Aspirations Scale, the Repression Scale in the MMPI-A, and item 283 of the MAST compared to the other group. The results suggest that using the MMPI-A to assess certain features (e.g., tendency to lie, repression) may be helpful in identifying young people who are at high risk of suicide. However, further research is required to determine the effectiveness of using this instrument.

摘要

自杀是一个重要的公共卫生问题。为了研究有自杀意念(SI)的青少年群体与有自杀未遂史(SA)的青少年群体在人格特征上的差异,我们进行了一项横断面研究。我们招募了55名有自杀意念和/或自杀未遂史的青少年(51名女性;年龄在12 - 18岁)。使用哥伦比亚自杀严重程度评定量表,我们将样本分为两组:有自杀意念的青少年和有自杀未遂史的青少年。所有参与者都填写了明尼苏达多相人格调查表青少年版(MMPI - A)。与有自杀意念的青少年组相比,有自杀未遂史的青少年组在社交关系、危险行为方面存在更大困难,且自杀意念更强。在MMPI - A量表中,有自杀未遂史的青少年组在遗漏量表、说谎量表、行为问题量表(Conduct Problem Scale)、低抱负量表(Less Aspirations Scale)、压抑量表以及MAST的第283项上的得分高于另一组。结果表明,使用MMPI - A评估某些特征(如说谎倾向、压抑)可能有助于识别有高自杀风险的年轻人。然而,需要进一步研究以确定使用该工具的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c32/10670834/19520b022f04/children-10-01794-g001.jpg

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