Nelson F L, Farberow N L
J Gerontol. 1980 Nov;35(6):949-57. doi: 10.1093/geronj/35.6.949.
The incidence of indirect self-destructive behavior (ISDB) is explored in a sample of 99 male, predominantly elderly nursing home patients, using a rating scale (ISDB Scale) developed by the authors in a previous study. Scores from the ISDB Scale are correlated with psychological test material, background information, and other descriptive data for the sample of patients. Findings indicate that the use of ISDB in the elderly patient group is associated with direct suicide potential, dissatisfaction with the treatment program and with life in general, confused reasoning and judgment, poor prognosis for discharge, the absence of religious commitment, and significant losses in the patient's life. It appears from the findings that ISDB serves as an alternative form of suicide for many of these patients.
在99名男性为主的老年疗养院患者样本中，使用作者在前一项研究中开发的评分量表（间接自我毁灭行为量表，ISDB量表）对间接自我毁灭行为（ISDB）的发生率进行了探究。ISDB量表的得分与心理测试材料、背景信息以及该患者样本的其他描述性数据相关。研究结果表明，老年患者群体中ISDB的使用与直接自杀可能性、对治疗方案和总体生活的不满、推理和判断混乱、出院预后不佳、缺乏宗教信仰以及患者生活中的重大损失有关。研究结果显示，对许多这些患者来说，ISDB是自杀的一种替代形式。
