Boergers J, Spirito A, Donaldson D
Department of Psychiatry and Human Behavior, Brown University, School of Medicine, Providence, RI, USA.
J Am Acad Child Adolesc Psychiatry. 1998 Dec;37(12):1287-93. doi: 10.1097/00004583-199812000-00012.
To determine reasons for suicide attempts in adolescents and to examine the relationship between these reasons and psychological functioning.
Self-reported reasons for suicide attempts and psychological functioning were examined in 120 adolescent suicide attempters who presented to a pediatric general hospital.
Consistent with prior research, the most frequently endorsed motives for self-harm were to die, to escape, and to obtain relief. More manipulative reasons for overdose (such as making people sorry) were endorsed less frequently. Adolescents who cited death as a reason for their suicide attempt reported more hopelessness, socially prescribed perfectionism, depression, and anger expression. Discriminant function analyses indicated that high levels of depression and anger expression predicted a self-reported wish to die, and high levels of depression and socially prescribed perfectionism predicted death as the primary reason reported for the suicide attempt.
Systematic assessment of the reasons for a suicide attempt is a useful tool for clinicians in determining recommendations for follow-up treatment.
确定青少年自杀未遂的原因，并探讨这些原因与心理功能之间的关系。
对120名到儿科综合医院就诊的青少年自杀未遂者进行了关于自杀未遂的自我报告原因及心理功能的调查。
与先前的研究一致，最常被认可的自我伤害动机是求死、逃避和寻求解脱。因过量服药而更具操纵性的原因（如让他人感到愧疚）则较少被认可。将死亡作为自杀未遂原因的青少年报告了更多的绝望感、社会规定的完美主义、抑郁和愤怒表达。判别函数分析表明，高水平的抑郁和愤怒表达预示着自我报告的求死愿望，而高水平的抑郁和社会规定的完美主义则预示着死亡是报告的自杀未遂的主要原因。
对自杀未遂原因进行系统评估是临床医生确定后续治疗建议的有用工具。
