Reeves J C, Large R G, Honeyman M
Aust N Z J Psychiatry. 1985 Mar;19(1):30-3. doi: 10.3109/00048678509158811.
The frequency with which depressive disorder is diagnosed in parasuicide varies. It has been suggested that when observer bias is removed and a depression questionnaire employed, a greater number of young women who attempt suicide will be designated as depressed than would be expected on the basis of previous clinical reports. Our study compared clinical diagnoses made according to Feighner's research diagnostic criteria or DSM III with the categorisations obtained by the Levine-Pilowsky Depression questionnaire (LPD). Fifty-one patients, 34 female and 17 male, were studied, 31.4% having a primary Major Depressive Disorder and 23.5% secondary depression as clinical diagnoses. The LPD categorised 72.5% as depressed. Comparison of the clinical diagnoses with questionnaire data suggests that the LPD is overinclusive and not as specific as clinical diagnosis. Alcohol and substance abuse disorders accounted for almost one-third of the diagnoses and are therefore an important concomitant of parasuicide.
在准自杀中被诊断出患有抑郁症的频率各不相同。有人提出，当消除观察者偏差并使用抑郁症问卷时，与之前临床报告预期的数量相比，更多企图自杀的年轻女性将被认定为患有抑郁症。我们的研究将根据费伊纳研究诊断标准或《精神疾病诊断与统计手册》第三版做出的临床诊断与通过莱文 - 皮洛斯基抑郁问卷（LPD）得出的分类进行了比较。研究了51名患者，其中34名女性和17名男性，临床诊断显示31.4%患有原发性重度抑郁症，23.5%患有继发性抑郁症。LPD将72.5%的患者归类为抑郁。临床诊断与问卷数据的比较表明，LPD的涵盖范围过大，不如临床诊断具体。酒精和药物滥用障碍占诊断病例的近三分之一，因此是准自杀的一个重要伴随因素。
