Mullick M S, Karim M E, Khanam M
Institute of Mental Health and Research, Dhaka.
Bangladesh Med Res Counc Bull. 1994 Dec;20(3):123-8.
One hundred consecutively admitted deliberate self-harm patients were studied. By using DSM III-R criteria for Major Depressive Episode (MDE) 38 were found to have major depressive disorder. Among them 27 were severe, 9 were moderate and only 2 were mild according to HRSD score which were entirely consistent with severity grading recorded by DSM III-R. Another 48 showed evidence of depressive symptoms which may be due to extreme subjective distress. All the depressed self-harm patients had depressed mood and almost all of them expressive somatization. Only 5 depressed self-harm patients were getting psychiatric treatment which indicate lack of awareness about the existence of depression among deliberate self-harm patients and poor referral service in the hospitals.
对连续收治的100例蓄意自伤患者进行了研究。根据《精神疾病诊断与统计手册》第三版修订版（DSM III-R）中重度抑郁发作（MDE）的标准，发现38例患有重度抑郁症。根据汉密尔顿抑郁量表（HRSD）评分，其中27例为重度，9例为中度，仅2例为轻度，这与DSM III-R记录的严重程度分级完全一致。另外48例有抑郁症状的证据，这可能是由于极度的主观痛苦所致。所有抑郁的自伤患者都有情绪低落，几乎所有患者都有表达性躯体化症状。只有5例抑郁的自伤患者正在接受精神科治疗，这表明蓄意自伤患者对抑郁症的存在缺乏认识，且医院的转诊服务较差。
