Bancroft J, Hawton K
Br J Med Psychol. 1983 Jun;56(2):197-204. doi: 10.1111/j.2044-8341.1983.tb01547.x.
There was considerable agreement between 50 psychiatrists in their choices of reasons to explain patients' overdoses after reading transcripts of interviews with self-poisoning patients. The reasons attributed in each case were similar to those chosen by three psychiatrists in an earlier study. Most psychiatrists chose more than one reason for each case. Multidimensional scaling analysis of the psychiatrists' choices across the cases suggested four groups of reasons: (a) directed at some significant person; (b) help-seeking; (c) self-referring; (d) suicidal intent. Future research could include the use of shorter lists of reasons, and should be directed particularly towards assessing the intended and actual effects of self-poisioning behaviour on significant others.
50位精神科医生在阅读自毒患者访谈记录后,对于解释患者过量服药的原因选择上有相当程度的共识。每个案例中归因的原因与早期一项研究中三位精神科医生所选择的原因相似。大多数精神科医生为每个案例选择了不止一个原因。对各案例中精神科医生的选择进行多维尺度分析,得出了四类原因:(a) 针对某个重要人物;(b) 寻求帮助;(c) 自我指涉;(d) 自杀意图。未来的研究可以包括使用更简短的原因列表,并且应该特别针对评估自毒行为对重要他人的预期和实际影响。