摘要
目的探讨边缘型人格障碍患者自杀意念特征及其危险因素，提高对边缘型人格障碍自杀风险的认识。方法选取门诊和住院的边缘型人格障碍（borderline personality disorder，BPD）患者共84例为病例组（n=84），并按1：1配比选择性别和年龄（±2岁）与病例组频数匹配健康对照组（n=84）。采用Barratt冲动性量表、Buss—Perry攻击量表、儿童期虐待问卷、Beck抑郁量表、Beck绝望量表、Beck自杀意念量表对两组被试施测。结果（1）病例组自杀意念发生数84例，最近一周自杀意念总分[（4．94±4．57）分，（0．50±0．51）分]，最严重时自杀意念总分[（20．43±6．58）分，（1．26±2．60）分]，自杀意念总分[（25．37±9．78）分，（1．76±3．65）分]，均显著高于对照组（t=8．499，24．972，20．847，P〈0．01）。（2）多元线性回归分析显示BPD患者自杀意念的影响因素7个：行动冲动性、儿童期躯体忽视、冲动性、共病轴Ⅰ诊断、儿童期躯体虐待、无业、非已婚（β=0．876，0．640，0．428，0．350，0．236，0．165，-0．205，均P〈0．05）。结论边缘型人格障碍患者的自杀意念多而强烈，需对其自杀意念危险因素有足够认识，从而降低自杀风险。
Objective To investigate suicidal ideation and its risk factors in patients with borderline personality disorder （ BPD）, and raise awareness of suicidal risk in BPD. Methods Patients with BPD were selected from in-patient and out-patient departments as case group（ n= 84） ,while 84 subjects were selected as control group, 1 ： 1 matched by gender and age. Barratt impulsiveness scale, Buss-Perry aggression ques- tionnaire, childhood trauma questionnaire, Beck depression inventory, Beck hopelessness scale and Beck scale for suicide ideation were used to measure the two groups. Results （ 1 ） In case group, the number of incidence of suicidal occurred was 84 .The scores of suicidal ideation in the recent week（4.94±4.57 vs 0.50± 0.51 ）, suicidal ideation in the worst situation（ 20.43±6.58 vs 1.26±2.60） and the total score（ 25.37±9.78 vs 1.76±3.65） were statistically higher than those in control group （ t= 8.499,24.972,20.847, all P〈0.O1 ）. （ 2 ） Multiple regression analysis showed that motor impulsivity, physical neglect in childhood, impulsivity, co- morbidity of axis I disorders, physical abuse in childhood, unemployment and unmarried status were risk factors of suicidal ideation in patients with BPD （β= 0.876,0.640,0.428,0.350,0.236,0.165, -0.205, all P〈 0.05）. Conclusion The suicide ideation of patients with BPD are prevalent and intense. Awareness of risk factors for patients with BPD, thereby reducing the risk of suicide.
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2017年第5期426-430,共5页
Chinese Journal of Behavioral Medicine and Brain Science
基金
武汉市卫生和计划生育委员会科研项目（WG13C08）
关键词
边缘型人格障碍
自杀意念
危险因素
Borderline personality disorder
Suicidal ideation
Risk factor
