Runeson B S, Beskow J, Waern M
Centre for Suicide Research and Prevention, Karolinska Hospital, Stockholm, Sweden.
Acta Psychiatr Scand. 1996 Jan;93(1):35-42. doi: 10.1111/j.1600-0447.1996.tb10616.x.
Fifty-eight consecutive suicides among 15- to 29-year-olds (42 men and 16 women) were investigated by modified psychological autopsies and examined from the perspective of the suicidal process. Previous suicide attempts were evident in 66% and more than two suicide attempts found in 17% of men and in 56% of women. The median interval from first suicidal communication to the suicide was shorter in men than in women (12 vs 42 months). The median interval was 47 months in schizophrenia, 30 months in borderline personality disorder, 3 months in major depression and < 1 month in adjustment disorder. There were also differences in the prevalence of next-of kin models for suicidal behavior, previous suicidal communication and in the characteristics of the suicide. We conclude that focusing on the process heightens understanding of serious suicidal behavior in young people.
通过改良心理解剖对15至29岁的58例连续自杀案例（42名男性和16名女性）进行了调查，并从自杀过程的角度进行了审视。66%的案例中有过先前自杀未遂经历，17%的男性和56%的女性有过两次以上自杀未遂经历。从首次自杀表达至自杀的中位间隔时间男性短于女性（12个月对42个月）。精神分裂症患者的中位间隔时间为47个月，边缘性人格障碍患者为30个月，重度抑郁症患者为3个月，适应障碍患者小于1个月。在自杀行为的亲属模式、先前自杀表达以及自杀特征的患病率方面也存在差异。我们得出结论，关注自杀过程有助于加深对年轻人严重自杀行为的理解。
