The role of clinical and Personological features in predicting high lethality suicide attempts: A study among mood disorder patients.

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS
Serena Borroni, Linda Franchini, Silvia Brioschi, Giulia Vassena, Elisabetta Masci, Chiara Franzoni, Giulia Ruotolo, Cristina Colombo, Andrea Fossati
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引用次数: 2

Abstract

Suicidal attempts (SA) represent heterogeneous behaviours ranging in their seriousness from fatal and near-fatal (high-lethality) cases to those that do not require medical attention (low lethality). These considerations stress the need to identify high-risk individuals for high lethality SA in order to target suicide preventive interventions. The present study aims at evaluating the role of sociodemographic and clinical variables and examining personality pathological features in predicting high lethality SA. The sample was composed by 94 patients who were consecutively admitted to the Mood Disorders Unit of the San Raffaele Turro Hospital in Milan. The results of binary logistic regression analyses showed that previous SA and current suicide ideation play a role in predicting serious SA. Considering the DSM-5 personality dysfunctional domains assessed by the Personality Inventory for DSM-5, our logistic regression analyses suggested that high lethality SA was associated with Detachment PID-5 domain. Finally, binary hierarchical regression analysis showed that Detachment domain remained a significant predictor of serious SA over and above the effect of previous SA and suicide ideation. As a whole, our results highlight the importance of a multidimensional approach to develop adequate assessment, effective treatments and prevention of high lethality SA risk.

临床和人格特征在预测高致命性自杀企图中的作用:一项情绪障碍患者的研究。
自杀企图是一种不同的行为,其严重程度从致命和接近致命(高致死率)到不需要医疗照顾(低致死率)不等。这些考虑强调需要确定高致死率SA的高危个体,以便有针对性地进行自杀预防干预。本研究旨在评估社会人口学和临床变量的作用,并检验人格病理特征在预测高致死率SA中的作用。样本由94名连续入住米兰圣拉斐尔图罗医院情绪障碍病房的患者组成。二元logistic回归分析结果显示,既往SA和当前自杀意念对严重SA有预测作用。考虑到DSM-5人格量表评估的人格功能障碍域,我们的逻辑回归分析表明,高致死率SA与分离性人格障碍域相关。最后,二元层次回归分析显示,分离域仍然是严重SA的显著预测因子,高于既往SA和自杀意念的影响。总的来说,我们的结果强调了多维方法的重要性,以制定适当的评估,有效的治疗和预防高致命性SA风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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