自伤行为患者的不适应性人格特征及其与自杀意图严重程度的关联
Andre Teck Sng Tay1, Samuel Eng Teck Cheng2
1Senior Consultant Psychiatrist at the Department of Psychological Medicine, Changi General Hospital and Clinical Assistant Professor, Duke-NUS Medical School and Clinical Senior Lecturer at the Yong Loo Lin School of Medicine, National University of Singapore.
Psychodynamic psychiatry
|September 15, 2023
概括
不适应性人格特征在自伤的住院患者中很常见. 不社会性特征与更高的自杀意图严重程度特别相关,为这个脆弱人群提供了针对性自杀预防策略.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 临床心理学 临床心理学
- 心理健康研究 心理健康研究
背景情况:
- 患有自我伤害行为的住院患者消耗了大量的医疗保健资源.
- 在自我伤害患者中评估自杀风险存在临床挑战.
- 了解个性特征在自杀意图中的作用至关重要.
研究的目的:
- 研究自我伤害住院患者的不适应性人格特征和自杀意图严重程度之间的关联.
- 为了确定与更高自杀风险相关的特定人格特征.
主要方法:
- 一项为期5个月的横截面研究,涉及37名住院患者自伤.
- 使用了国际人格障碍检查 (IPDE) ICD-10,贝克的自杀意图表 (SIS) 和抑郁焦虑压力表 (DASS) 21.
- 使用STATA版本10.1.1.进行的统计分析.
主要成果:
- 所有参与者对至少一个不适应性人格特征进行了查,结果为阳性; 89.19%的人具有多个特征.
- 精神分裂症,精神分裂症和偏执症的特征是最普遍的.
- 不社会特征与自杀意图严重程度有显著的正相关性 (回归系数=1.37,p=0.017),即使经过对抑郁,焦虑和压力症状进行调整.
结论:
- 不适应性人格特征在参与自我伤害的住院患者中非常普遍.
- 不社会的人格特征是该人口中自杀意图严重程度增加的重要预测因素.
- 这些发现可以为那些有自我伤害行为和特定人格特征的人制定有针对性的自杀预防策略.
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