Fremouw W, Callahan T, Kashden J
Department of Psychology, West Virginia University, Morgantown 26506-6040.
Suicide Life Threat Behav. 1993 Spring;23(1):46-54.
This study examined the life stress and problem-solving interactional model of suicide proposed by Clum, Patsiokas, and Luscomb (1979). Thirty-three hospitalized suicidal adolescents were compared with 21 adolescents hospitalized for other psychiatric problems and with 89 controls. The assessment battery was composed of psychological measures, problem-solving measures, and environmental and family measures. The discriminant analyses revealed that the suicide group could be discriminated from the psychiatric control group but not from the high school control group. Unexpectedly, life stresses did not contribute to the identification of current suicide risk. The results suggest the importance of assessing suicide risk at the time of admission to minimize any subsequent changes in the risk group.
本研究检验了Clum、Patsiokas和Luscomb(1979)提出的自杀的生活压力与问题解决交互模型。将33名住院的自杀青少年与21名因其他精神问题住院的青少年以及89名对照组进行了比较。评估量表由心理测量、问题解决测量以及环境和家庭测量组成。判别分析显示,自杀组可与精神科对照组区分开来,但与高中对照组无法区分。出乎意料的是,生活压力对当前自杀风险的识别并无贡献。结果表明,在入院时评估自杀风险以尽量减少风险组随后的任何变化具有重要意义。