精神科住院患者自杀观念的维度

Dimensions of suicidal ideation in psychiatric inpatients.

作者信息

Steer R A, Rissmiller D J, Ranieri W F, Beck A T

机构信息

Department of Psychiatry, University of Medicine and Dentistry, New Jersey School of Osteopathic Medicine, Camden 08103-1505.

出版信息

Behav Res Ther. 1993 Feb;31(2):229-36. doi: 10.1016/0005-7967(93)90090-h.

DOI:10.1016/0005-7967(93)90090-h

PMID:8442750

Abstract

The computer-assisted version of the Beck Scale for Suicide Ideation (BSI; Beck, Steer & Ranieri, Journal of Clinical Psychology, 44, 499-505, 1988) was administered to 330 psychiatric inpatients diagnosed with mixed disorders. The BSI is a 19-item self-report instrument for measuring the intensity, duration and specificity of a patient's thoughts and plans about committing suicide. Of the 330 inpatients, 115 (34.8%) were classified as suicide ideators according to the BSI. Controlling for gender, a maximum-likelihood principal factor analysis of the partial intercorrelation matrix among the ideators' BSI items was conducted using an oblique rotation. Three factors were found that reflected Desire for Death, Preparation for Suicide and Active Suicidal Desire. The importance of assessing specific factors of suicidal ideation was discussed.

摘要

将计算机辅助版的贝克自杀意念量表（BSI；贝克、斯泰尔和拉涅里，《临床心理学杂志》，第44卷，第499 - 505页，1988年）施用于330名被诊断患有混合性障碍的精神科住院患者。BSI是一种包含19个条目的自我报告工具，用于测量患者自杀想法和计划的强度、持续时间及特异性。在这330名住院患者中，根据BSI，有115名（34.8%）被归类为有自杀意念者。在控制了性别因素后，使用斜交旋转法对有自杀意念者的BSI条目间的偏相关矩阵进行了最大似然主因子分析。发现了三个反映死亡欲望、自杀准备和主动自杀欲望的因子。文中讨论了评估自杀意念特定因子的重要性。