O'Donnell I, Farmer R, Catalán J
University of Oxford, Centre for Criminological Research, Oxford.
Br J Psychiatry. 1996 Jun;168(6):780-6. doi: 10.1192/bjp.168.6.780.
There is a dearth of information on the motivational aspects of serious suicide attempts, in particular those which involve violent methods. Clarification of the reasons which lie behind such acts may suggest appropriate preventive strategies.
Interviews were carried out with 20 individuals who had attempted suicide by jumping in front of a railway train. Demographic and psychiatric data were collected for each case and the Suicidal Intent Scale was administered.
In most cases the act had been impulsive and was characterised by an extremely high level of suicidal intent. The majority were receiving psychiatric treatment at the time of their suicide attempt. In some cases, survival and the aftermath of the attempt appeared to have a beneficial effect on mental state.
While high levels of psychiatric morbidity and high suicidal intent were common, impulsivity and improved mental state indicate that there are similarities between high and low suicide intent survivors.
关于严重自杀未遂的动机方面，尤其是那些涉及暴力手段的自杀未遂，信息匮乏。阐明此类行为背后的原因可能会提示适当的预防策略。
对20名曾试图跳轨自杀的个体进行了访谈。收集了每个案例的人口统计学和精神病学数据，并使用了自杀意图量表。
在大多数情况下，该行为是冲动性的，其特征是自杀意图极高。大多数人在自杀未遂时正在接受精神科治疗。在某些情况下，自杀未遂后的存活及后果似乎对精神状态有有益影响。
虽然高精神疾病发病率和高自杀意图很常见，但冲动性和精神状态的改善表明，高自杀意图幸存者和低自杀意图幸存者之间存在相似之处。
