Frankel F H
Am J Psychother. 1984 Jul;38(3):384-91. doi: 10.1176/appi.psychotherapy.1984.38.3.384.
Publications on the subjects of ECT and suicide stress the importance of ECT as a valuable treatment in appropriately selected cases of suicidal ideation or attempted suicide. There is no direct correlation between the degree of suicidality and the usefulness of ECT. In the management of cases with major affective disorder, particularly those showing delusions and vegetative signs, ECT should be considered early in the treatment. The presence of the potential for suicide provides an added incentive. However, suicidal threats or attempts on the part of patients with severe personality disorders are not likely to respond to ECT unless the picture is complicated by major depressive illness. In the absence of such affective illness, understanding and skilled psychotherapy are likely to be more effective. Antidepressant medication and ECT should be administered within a supportive, watchful, and compassionate setting.
关于电休克疗法（ECT）和自杀的出版物强调，在适当选择的自杀意念或自杀未遂病例中，ECT作为一种有价值的治疗方法的重要性。自杀倾向程度与ECT的有效性之间没有直接关联。在治疗重度情感障碍病例时，尤其是那些有妄想和躯体症状的病例，应在治疗早期考虑使用ECT。存在自杀可能性会增加使用ECT的动机。然而，除非伴有重度抑郁发作使病情复杂化，否则ECT不太可能对患有严重人格障碍的患者的自杀威胁或自杀企图产生效果。在没有这种情感疾病的情况下，理解性和专业性的心理治疗可能更有效。抗抑郁药物和ECT应在支持性、警惕性和关怀性的环境中使用。
