Adam K S, Valentine J, Scarr G, Streiner D
Aust N Z J Psychiatry. 1983 Mar;17(1):18-25. doi: 10.3109/00048678309159982.
Ninety-eight subjects who had attempted suicide and 102 general practice controls previously interviewed were followed-up at 18-24 months. The former continued to show greater social and psychiatric disability than controls and more than one-third made repeat suicide attempts. Nevertheless, as a group, the attempted suicides showed significant improvement in mental state, and familial and interpersonal relationships, whereas controls reported little change in most measures. Persistence of suicidal ideation and repeat attempts were correlated with the diagnosis of psychosis and personality disorder and predictions about the likelihood of further suicidal activity were accurate. Although 92% of patients were referred for further treatment, 38% of these were judged to have dropped out prematurely. Completion of treatment and being in ongoing treatment were positively correlated with patients' self reports of improvement. The findings are compared to experience elsewhere and to a previous Christchurch follow-up study.
对98名曾试图自杀的受试者以及之前接受过访谈的102名普通科对照者进行了18至24个月的随访。前者的社会和精神残疾状况仍比对照者更严重，超过三分之一的人再次尝试自杀。然而，作为一个群体，试图自杀者在精神状态、家庭和人际关系方面有显著改善，而对照者在大多数指标上几乎没有变化。自杀意念的持续存在和再次尝试与精神病和人格障碍的诊断相关，并且对进一步自杀行为可能性的预测是准确的。尽管92%的患者被转介接受进一步治疗，但其中38%的人被判定过早退出。治疗的完成情况和正在接受治疗与患者自我报告的改善情况呈正相关。将这些发现与其他地方的经验以及克赖斯特彻奇之前的一项随访研究进行了比较。
