Izlaganje sa skupa
PERSONALITY AND PSYCHOTIC SYMPTOMS AS PREDICTORS OF SELF-HARM AND ATTEMPTED SUICIDE
Valentina Del Bello
; School of Specialization in Psychiatry, Division of Psychiatry, Clinical Psychology and Rehabilitation, Department of Medicine, University of Perugia
Norma Verdolini
; School of Specialization in Psychiatry, Division of Psychiatry, Clinical Psychology and Rehabilitation, Department of Medicine, University of Perugia
Luca Pauselli
; School of Specialization in Psychiatry, Division of Psychiatry, Clinical Psychology and Rehabilitation, Department of Medicine, University of Perugia
Luigi Attademo
; School of Specialization in Psychiatry, Division of Psychiatry, Clinical Psychology and Rehabilitation, Department of Medicine, University of Perugia
Francesco Bernardini
; School of Specialization in Psychiatry, Division of Psychiatry, Clinical Psychology and Rehabilitation, Department of Medicine, University of Perugia
Roberto Quartesan
; Division of Psychiatry, Clinical Psychology and Rehabilitation, Department of Medicine, University of Perugia, Perugia, Italy
Patrizia Moretti
; Santa Maria della Misericordia Hospital, Perugia, Italy ; Division of Psychiatry, Clinical Psychology and Rehabilitation, Department of Medicine, University of Perugia, Perugia, Italy
Sažetak
Background: Nonfatal suicidal behaviours (NSB), including suicide ideation, suicide plan and suicide attempt, constitute a
serious problem for public healthcare services. Suicide gesture (SG) which refers to self-injurious behaviour with no intent to die,
differs from NSB in a variety of important ways. The aim of this study was to investigate demographic and clinical characteristics of
NSB and SG to examine whether self-injurers with intent to die differ significantly from self injurers without such intent.
Methods: All admissions for NSB and SG to the Psychiatric Inpatient Unit of University / General Hospital Santa Maria della
Misericordia, Perugia, Umbria, Italy, from January 2015 to June 2015 were included in a medical record review. Basic descriptive
statistics and distributional properties of all variables were first examined. Bivariate analyses were performed using Chi-square tests
for group comparisons and t-test for independent samples used when appropriated.
Results: The study sample included 38 patients. Of these 23 had committed NSB (13.1 %), 15 had commetted SG (8.5%). Number
of married NSB was significantly higher than the number of married SG (p=0.08). We found a significant difference between NSB
and SG related to the item of impulse control that was poorer in SG than NSB (p=0.010). BPRS items of hostility (p=0.082),
suspiciousness (p=0.042) and excitement (p=0.02) were found to be significantly higher in SG than NSB. Borderline personality
disorder (p=0.032) and Passive-Aggressive personality disorder (p=0,082) diagnosed by the means of the SCID-II, were more
represented in SG than NSB (p=0.044). Schizoid personality disorder was significantly related to NSB (p=0.042).
No others significant differences were found.
Conclusions: NSB and SG are different for many psychopathological characteristics. These results confirm the importance of
classifying individuals on the basis of the intent to die. Additional research is needed to understand and elucidate psychopatological
and clinical characteristics of the different categories of self-injurers to find risk factors specific to suicide attempts.
Ključne riječi
hostility; personality disorder; suicidal behaviours; self-injury; suicide gestures
Hrčak ID:
264549
URI
Datum izdavanja:
8.9.2015.
Posjeta: 199 *