Michel K, Valach L, Waeber V
Psychiatrische Universitätspoliklinik, Bern, Switzerland.
Crisis. 1994;15(4):172-8.
Patients were asked to explain why they had attempted suicide, by spontaneous description and by the use of lists of problems and motives presented to them. They were also asked what help they would have accepted before the event, and what the consequences of the suicide attempt were. The main motive for attempting suicide mentioned was an acute and unbearable state of mind. Interpersonal (manipulative) motives were of much less importance to the patients. In contrast, the problems which patients thought had an influence on what they had done were mainly interpersonal problems and, to a lesser degree, health problems. Especially younger individuals saw interpersonal difficulties as the main problems. Many patients reported that in the suicidal crisis they would not have been prepared to accept help. Most felt the suicide attempt had positive consequences for them.
患者被要求通过自发描述以及使用提供给他们的问题和动机列表来解释他们自杀未遂的原因。他们还被问及在事件发生前会接受何种帮助，以及自杀未遂的后果是什么。提及的自杀未遂的主要动机是一种急性且无法忍受的心理状态。人际（操纵性）动机对患者来说重要性要小得多。相比之下，患者认为对他们的行为有影响的问题主要是人际问题，在较小程度上是健康问题。尤其是年轻个体将人际困难视为主要问题。许多患者报告说，在自杀危机中他们并不愿意接受帮助。大多数人认为自杀未遂对他们有积极影响。
