Motto J A
Am J Psychiatry. 1979 Apr;136(4B):516-20.
The author hypothesizes that certain types of persons at high risk for suicide constitute definable clinical models, that the process of arriving at a suicidal outcome involves elements unique to each model, and that these elements can be considered manifestations of psychopathology. This approach is investigated using two models: "Males Under Forty" and "Stable with Forced Change." The results indicate statistically reliable differences between the models in the distributions of estimated risks for persons who subsequently committed suicide compared with those who did not. The implications of the associated highrisk variables as reflections of psychopathologic processes are considered.
作者假设,某些自杀高风险类型的人构成了可定义的临床模型,达成自杀结果的过程涉及每个模型独有的因素,并且这些因素可被视为精神病理学的表现。使用“40岁以下男性”和“因强制改变而情绪稳定”这两个模型对该方法进行了研究。结果表明,与未自杀者相比,在随后自杀者的估计风险分布方面,这两个模型之间存在统计学上可靠的差异。文中考虑了相关高风险变量作为精神病理过程反映的意义。