Taiminen T J, Saarijärvi S, Helenius H, Keskinen A, Korpilahti T
Department of Psychiatry, Turku University Central Hospital, Finland.
Acta Psychiatr Scand. 1996 Mar;93(3):195-8. doi: 10.1111/j.1600-0447.1996.tb10631.x.
Alexithymia seems to share some common features with psychological constriction, a phenomenon described in suicidal individuals. Fifty suicide attempters were interviewed within 24 h after arrival at a hospital, and measures of lethality of the attempt, suicidal intent, depression and alexithymia were carried out with structured instruments. Almost all the attempters were depressive, and about half of them were also alexithymic. However, alexithymia was not more prevalent in this population than in non-suicidal depressive patients. Depression and alexithymia correlated significantly with each other, but there was no correlation between alexithymia and lethality of the suicide attempt or suicidal intent. The authors conclude that alexithymia in suicide attempters seems to be associated with depression, but not with suicidality per se. Therefore, measurement of alexithymia may not yield extra information in suicide risk assessment.
述情障碍似乎与心理收缩有一些共同特征，心理收缩是一种在有自杀倾向的个体中描述的现象。五十名自杀未遂者在入院后24小时内接受了访谈，并使用结构化工具对自杀企图的致死性、自杀意图、抑郁和述情障碍进行了测量。几乎所有的未遂者都患有抑郁症，其中约一半人也有述情障碍。然而，述情障碍在这一人群中并不比非自杀性抑郁症患者更普遍。抑郁和述情障碍之间存在显著相关性，但述情障碍与自杀企图的致死性或自杀意图之间没有相关性。作者得出结论，自杀未遂者的述情障碍似乎与抑郁症有关，但与自杀本身无关。因此，在自杀风险评估中，测量述情障碍可能不会产生额外信息。
