DeMaso D R, Ross L, Beardslee W R
Department of Psychiatry, Children's Hospital, Boston, MA 02115.
J Dev Behav Pediatr. 1994 Apr;15(2):74-7.
This study describes the relationships between the presence of a depressive disorder, suicidal intent, and the medical seriousness of a suicide attempt in an adolescent sample. Consecutive adolescents who attempted suicide were evaluated for the presence or absence of current DSM-III-R depressive disorders (DD). Adolescent suicide attempters with DD were compared with those without DD regarding the level of their suicide intent and the medical seriousness of their suicide attempt. Adolescent suicide attempters with a diagnosis of DD were found to have a higher level of suicidal intent than were those without depressive illness. There was no relationship between the medical seriousness of the suicide attempt and the presence of DD. Clinicians should specifically assess for DSM-III-R DD as a means of determining suicidal intent in adolescent suicide attempters.
本研究描述了青少年样本中抑郁症的存在、自杀意图与自杀未遂的医学严重性之间的关系。对连续自杀未遂的青少年进行评估，以确定是否存在当前的《精神疾病诊断与统计手册第三版修订本》（DSM-III-R）中的抑郁症（DD）。将患有DD的青少年自杀未遂者与未患DD的青少年自杀未遂者在自杀意图水平和自杀未遂的医学严重性方面进行比较。结果发现，被诊断患有DD的青少年自杀未遂者的自杀意图水平高于未患抑郁症的青少年。自杀未遂的医学严重性与DD的存在之间没有关系。临床医生应特别评估是否存在DSM-III-R DD，以此作为确定青少年自杀未遂者自杀意图的一种方法。
