Marttunen M J, Aro H M, Henriksson M M, Lönnqvist J K
National Public Health Institute, Department of Mental Health, Helsinki, Finland.
Acta Psychiatr Scand. 1994 Mar;89(3):167-73. doi: 10.1111/j.1600-0447.1994.tb08087.x.
Antisocial behaviour among adolescent suicide victims (44 males, 9 females) was investigated in a nationwide psychological autopsy study of suicides in Finland. The data were collected through interviews of the victims' relatives and attending health care personnel, and from official records. Antisocial behaviour was reported among 43% of the victims. Separation from parents, parental alcohol abuse and parental violence were common among male victims with antisocial behaviour. Their psychosocial adjustment was poor, and they had experienced severe stressors. Depressive disorders were common among all suicides, but male victims with antisocial behaviour had more often alcohol abuse and comorbid mental disorders compared with victims without antisocial behaviour. The results indicate a strong relatedness between adolescent suicide and antisocial behaviour. Recognition and treatment of manifest mental symptoms and evaluation of suicide risk among adolescents with antisocial behaviour and substance abuse is emphasized. Antisocial symptoms with relatively short duration and not severe enough to meet the criteria for actual antisocial disorders also need to be taken into account.
在芬兰一项针对自杀事件的全国性心理解剖学研究中，对青少年自杀受害者（44名男性，9名女性）的反社会行为进行了调查。数据通过对受害者亲属和参与救治的医护人员的访谈以及官方记录收集而来。43%的受害者被报告有反社会行为。父母离异、父母酗酒和父母暴力在有反社会行为的男性受害者中很常见。他们的心理社会适应能力较差，且经历过严重的压力源。抑郁症在所有自杀案例中都很常见，但与没有反社会行为的受害者相比，有反社会行为的男性受害者更常酗酒且患有共病精神障碍。结果表明青少年自杀与反社会行为之间存在密切关联。强调对有反社会行为和药物滥用的青少年明显的精神症状进行识别和治疗以及对自杀风险进行评估。持续时间相对较短且严重程度不足以达到实际反社会障碍标准的反社会症状也需要加以考虑。
