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住院患者自杀与暴力风险的相关因素:应对方式与社会支持

Correlates of suicide and violence risk in an inpatient population: coping styles and social support.

作者信息

Kotler M, Finkelstein G, Molcho A, Botsis A J, Plutchik R, Brown S L, van Praag H M

机构信息

Acute Inpatient Service, Newark Beth Israel Medical Center.

出版信息

Psychiatry Res. 1993 Jun;47(3):281-90. doi: 10.1016/0165-1781(93)90085-u.

Abstract

Forty-six suicidal psychiatric inpatients were compared with 44 nonsuicidal psychiatric inpatients on measures of suicide risk, violence risk, impulsivity, feelings of anger, social support, and eight coping styles. The two groups were similar on demographic variables, but the suicidal patients were higher on the suicide risk scale, the violence risk scale, the impulsivity scale, and feelings of anger. Suicidal patients were significantly less likely to use the coping style of minimization to deal with life problems. A negative correlation was found between the social support measure and both suicide risk and violence risk. Three coping styles were found to correlate negatively with violence risk, but none with suicide risk. Coping styles were found to be a better predictor of violence risk than of suicide risk. It was also found that the more variables included in the predictor equation, the higher the correlation with the risk measures.

摘要

对46名有自杀倾向的精神科住院患者与44名无自杀倾向的精神科住院患者在自杀风险、暴力风险、冲动性、愤怒情绪、社会支持及八种应对方式等方面进行了比较。两组在人口统计学变量上相似,但自杀患者在自杀风险量表、暴力风险量表、冲动性量表及愤怒情绪方面得分更高。自杀患者采用淡化应对方式处理生活问题的可能性显著更低。社会支持测量与自杀风险和暴力风险均呈负相关。发现三种应对方式与暴力风险呈负相关,但与自杀风险均无相关性。应对方式对暴力风险的预测能力优于对自杀风险的预测能力。还发现预测方程中纳入的变量越多,与风险测量的相关性越高。

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