Michel K, Jaeggi C, Sturzenegger M, Valach L, Konrad M [corrected to Michel K ]
Psychiatrische Universitätspoliklinik Bern.
Psychother Psychosom Med Psychol. 1994 Jan;44(1):1-6.
66 suicide attempters were interviewed with the European Parasuicide Study Interview Schedule (EPSIS) and characteristics of persons under the age of 26 were compared with those over 26.82% of the young suicide attempters gave interpersonal conflicts as reasons for their suicide attempts while most older persons gave psychiatric disorders as reasons. The younger group also had significantly lower scores on the Beck Depression Inventory and the Hopelessness Scale. While younger suicide attempters rarely had sought help from their GP within the month preceding the attempt one third of the older group had done so. It is concluded that in order to understand the reasons why people attempt suicide a differential approach combining the concept of crisis as well as the concept of illness is needed. Helpers should know that young suicide attempters rarely show signs of clear psychiatric disorder but usually attempt suicide because they are unable to cope with interpersonal conflicts.
采用欧洲自杀未遂研究访谈量表（EPSIS）对66名自杀未遂者进行了访谈，并将26岁以下人群的特征与26岁以上人群的特征进行了比较。82%的年轻自杀未遂者将人际冲突作为自杀未遂的原因，而大多数年长者则将精神疾病作为原因。较年轻组在贝克抑郁量表和绝望量表上的得分也显著较低。虽然年轻自杀未遂者在自杀未遂前一个月内很少向他们的全科医生寻求帮助，但老年组中有三分之一的人这样做了。得出的结论是，为了理解人们自杀未遂的原因，需要一种结合危机概念和疾病概念的差异化方法。救助者应该知道，年轻自杀未遂者很少表现出明显的精神疾病迹象，但通常因无法应对人际冲突而试图自杀。
