Ahrens B, Haug H J
Department of Psychiatry, Free University Berlin, Germany.
Crisis. 1996;17(2):59-63. doi: 10.1027/0227-5910.17.2.59.
In this investigation the frequency and clinical importance of suicidal behavior in patients with a primary diagnosis of personality disorder was studied. The sample was drawn from a group of over 8000 psychiatric inpatients admitted to a university psychiatric hospital. Only patients with a primary diagnosis of personality disorder were included. In the subgroup of 226 patients with this diagnosis, it was found that the rate of suicidality was almost as great as that of patients with a primary diagnosis of major affective disorder (39% as opposed to 41%), despite the absence in all but 3% of these patients of an additional diagnosis of affective disorder. Further, this figure was considerably higher than that for all psychiatric inpatients (24%). Suicidal patients had more suicide attempts in their history and had a more serious depressive syndrome, despite the fact that only 3% fulfilled the criteria for major affective disorder. The conclusion which can be drawn is that a high degree of suicidality should not be regarded as exclusively linked to a primary diagnosis of major affective disorder.
在本次调查中，研究了原发性人格障碍患者自杀行为的发生率及临床重要性。样本取自一所大学精神病院收治的8000多名精神科住院患者。仅纳入原发性人格障碍患者。在226例该诊断的亚组患者中，发现自杀率几乎与原发性重性情感障碍患者相同（分别为39%和41%），尽管这些患者中除3%外均无情感障碍的附加诊断。此外，这一数字显著高于所有精神科住院患者（24%）。有自杀行为的患者既往有更多自杀未遂史，且有更严重的抑郁综合征，尽管只有3%的患者符合重性情感障碍的标准。可以得出的结论是，不应将高度自杀倾向仅仅视为与原发性重性情感障碍相关。
