PDF(Pubmed)
Abstract：
Research indicates that patients with a lifetime history of suicide attempts are particularly burdened. However, investigations of their characteristics and comparisons with other patients are scarce. This study aimed to fill this research gap, using routine clinical data and guided by theoretical models. Data of N = 706 patients (54.4% women) was collected at the psychosomatic inpatient/day-clinic unit of a German university clinic. It comprised sociodemographic data and information about previous experiences (e.g., childhood abuse and neglect), symptom measures (e.g., the PHQ-9) and individual differences (e.g., the level of personality functioning assessed with the OPD-SQS). Groups were compared using independent t-tests or χ2-tests. Of the total sample, 118 patients (16.7%) reported suicide attempts. Those with a history of suicide attempts were more likely to have a migration background and a lower level of education, smoke (heavily) and use illegal substances. They reported lower levels of personality functioning, more current symptoms and traumatic previous experiences of abuse and neglect. Screening for previous suicidal behavior as well as associated factors can yield valuable information for clinical practice. Many group differences map onto previously observed specific risk factors for suicidal behavior, supporting the conceptual models and underscoring their relevance among clinical populations as well.
摘要：
研究表明，有终生自杀未遂史的患者特别负担。然而,对其特征的调查以及与其他患者的比较很少。本研究旨在填补这一研究空白，使用常规临床数据并以理论模型为指导。在德国大学诊所的心身住院/日间诊所单元收集了N=706名患者（54.4％的女性）的数据。它包括社会人口统计数据和关于以前经历的信息(例如，童年虐待和忽视)，症状测量(例如，PHQ-9)和个体差异(例如，用OPD-SQS评估的人格功能水平)。使用独立t检验或χ2检验比较各组。在总样本中，118例患者（16.7%）报告自杀未遂。那些有自杀企图史的人更有可能有移民背景和较低的教育水平，吸烟（大量）和使用非法物质。他们报告的人格功能水平较低，更多当前的症状和以前遭受虐待和忽视的创伤经历。筛查先前的自杀行为以及相关因素可以为临床实践提供有价值的信息。许多群体差异映射到先前观察到的自杀行为的特定风险因素，支持概念模型，并强调其在临床人群中的相关性。
