Wetzler S, Asnis G M, Hyman R B, Virtue C, Zimmerman J, Rathus J H
Department of Psychiatry, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY 10467, USA.
Suicide Life Threat Behav. 1996 Spring;26(1):37-45.
The identification of high-risk adolescent suicide attempters in a population of depressed and suicidal adolescents is of crucial importance. This retrospective study examined characteristics of suicidality (recent and lifetime, active and passive) and psychopathology (depression, aggression, impulsivity, stressful life events, SCL-90 dimensions) among four groups of depressed adolescent outpatients: (1) suicide attempters who required medical treatment (n = 84), (2) suicide attempters who did not require medical treatment (n = 57), (3) suicidal ideators who had never made a suicide attempt (n = 40), and (4) nonsuicidal patients (n = 44). Results indicate that the nonsuicidal group could be differentiated from the three suicidal groups on the basis of suicidality and psychopathology, and that the three suicidal groups could be differentiated from one another on the basis of suicidality but not psychopathology. These findings are discussed in terms of the usefulness of certain self-report measures of suicidality for identifying suicidal adolescents and for differentiating among them. Furthermore, the findings suggest that psychopathological factors do not determine which suicidal adolescents make a medically dangerous suicide attempt and which do not.
在抑郁和有自杀倾向的青少年群体中识别高风险的青少年自杀未遂者至关重要。这项回顾性研究调查了四组抑郁门诊青少年患者的自杀倾向（近期和终生、主动和被动）及精神病理学特征（抑郁、攻击性、冲动性、应激性生活事件、SCL - 90维度）：（1）需要医疗救治的自杀未遂者（n = 84），（2）不需要医疗救治的自杀未遂者（n = 57），（3）从未有过自杀未遂行为的自杀意念者（n = 40），以及（4）无自杀倾向的患者（n = 44）。结果表明，无自杀倾向组在自杀倾向和精神病理学方面可与三个自杀组区分开来，且三个自杀组在自杀倾向方面可相互区分，但在精神病理学方面则不然。将根据某些自杀倾向的自我报告测量方法在识别自杀青少年及区分他们方面的有用性来讨论这些发现。此外，研究结果表明，精神病理学因素并不能决定哪些有自杀倾向的青少年会做出有医学危险性的自杀未遂行为，哪些则不会。
