Department of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.
Department of Clinical Psychology, Psychoanalysis and Psychotherapy, Institute of Psychology, University of Klagenfurt, Klagenfurt am Wörthersee, Austria.
Sci Rep. 2024 Jul 31;14(1):17712. doi: 10.1038/s41598-024-66987-x.
Research indicates that patients with a lifetime history of suicide attempts are particularly burdened. However, investigations of their characteristics and comparisons with other patients are scarce. This study aimed to fill this research gap, using routine clinical data and guided by theoretical models. Data of N = 706 patients (54.4% women) was collected at the psychosomatic inpatient/day-clinic unit of a German university clinic. It comprised sociodemographic data and information about previous experiences (e.g., childhood abuse and neglect), symptom measures (e.g., the PHQ-9) and individual differences (e.g., the level of personality functioning assessed with the OPD-SQS). Groups were compared using independent t-tests or χ-tests. Of the total sample, 118 patients (16.7%) reported suicide attempts. Those with a history of suicide attempts were more likely to have a migration background and a lower level of education, smoke (heavily) and use illegal substances. They reported lower levels of personality functioning, more current symptoms and traumatic previous experiences of abuse and neglect. Screening for previous suicidal behavior as well as associated factors can yield valuable information for clinical practice. Many group differences map onto previously observed specific risk factors for suicidal behavior, supporting the conceptual models and underscoring their relevance among clinical populations as well.
研究表明,有自杀未遂病史的患者负担尤其重。然而,对他们的特征进行调查并与其他患者进行比较的研究却很少。本研究旨在利用常规临床数据并以理论模型为指导,填补这一研究空白。这项研究的数据来自德国一所大学附属医院的身心科住院/日间诊所,共纳入了 706 名患者(54.4%为女性)。数据包括社会人口学资料和既往经历信息(例如,儿童期虐待和忽视)、症状评估(例如,PHQ-9)以及个体差异(例如,用 OPD-SQS 评估的人格功能水平)。使用独立 t 检验或 χ 检验比较各组间的差异。在总样本中,有 118 名患者(16.7%)报告有自杀未遂史。有自杀未遂史的患者更有可能有移民背景和较低的教育程度,吸烟(重度)和使用非法药物。他们报告的人格功能水平较低,当前症状更多,并且有过被虐待和忽视的创伤性经历。对既往自杀行为及相关因素进行筛查,可以为临床实践提供有价值的信息。许多组间差异与之前观察到的自杀行为的特定风险因素相符,这支持了概念模型的合理性,同时也强调了其在临床人群中的相关性。