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[对药物成瘾者自杀未遂的法医心理学分析]

[Forensic-psychological analysis of attempted suicides in toxicomaniacs].

作者信息

Lacho L, Dobrotka G, Porubský V, Neuwerth A

出版信息

Soud Lek. 1977;22(3):17-24.

PMID:616637
Abstract

The authors examined 70 toxicomaniacs incl. 30 who attempted suicide at least one. They analyzed the motivation and causes which made the adolescent attempt suicide. The drastic manner of attempted suicide-cutting veins of the forearm and wrist predominated ans was recored in 56.6%. 83.3% attempted suicide during acute intoxication. Mild cerebral dysfunction was observed in 43.3% of those attempting suicide. Defective behavior was recorded in the case-history of 63.3%. In 80% of those attempting suicide the family and social environment was unfavourable. Dependence on psychotropic drugs for more than one year was found in 80% and polytoxicomania in 90% of the cases. Volatile psychotropic substances cause considerable deterioration of already existing changes of personality of encephalopathic or psychopathic origin; they act probably as "hasteners" or "catalyzers" and thus condition the motivation for suicide. This fact is important in particular for forensic psychology and expert opinions on cases of completed suicide.

摘要

作者研究了70名吸毒成瘾者,其中包括30名至少有过一次自杀企图的人。他们分析了促使青少年自杀的动机和原因。自杀企图的极端方式——割破前臂和手腕的静脉占主导地位,记录显示占56.6%。83.3%的人在急性中毒期间企图自杀。43.3%企图自杀的人存在轻度脑功能障碍。63.3%的病例病史中有行为缺陷记录。80%企图自杀的人的家庭和社会环境不利。80%的病例中发现对精神药物的依赖超过一年,90%的病例存在多种药物成瘾。挥发性精神药物会使已经存在的脑病或精神病变起源的人格变化显著恶化;它们可能起到“加速剂”或“催化剂”的作用,从而促成自杀动机。这一事实对于法医心理学以及关于自杀既遂案件的专家意见尤为重要。

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