Die klassifikatorische und prädiktive Qualität des Merkmals “suicide intent” bei Parasuiziden Eine clusteranalytische Untersuchung

Antretter, Elfi; Dunkel, Dirk; Seibl, Regina; Häring, Christian

doi:10.1007/s001150101196

Cited by 2 publications

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“…Suizidversuche und selbstverletzendes Verhalten können nicht anhand der sozialen Manipulations-, Selbstbestrafungs-oder Emotionsregulationsfunktion differenziert werden [18], obwohl Suizidversuche kaum für eine unmittelbare Emotionsbewältigung geeignet scheinen, wie Selbstberichte und experimentelle Untersuchungen zeigen [23,24]. Motive, wie "Rache", "Bestrafung von Bezugspersonen" und "Flucht aus unerträglichen Situationen" sowie "Vermeidung von quälenden Gedanken", trennen ebenfalls nicht [19,20,22,25]. Dies bedeutet einerseits, dass sich Patienten auch mittels Suizidversuchen selbst bestrafen oder an Mitmenschen rächen möchten, und andererseits, dass dem selbstverletzenden Verhalten scheinbar auch sehr intensive schmerzhafte Zustände (unerträgliche Gedanken und Situationen) vorausgehen.…”

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Selbstverletzendes Verhalten und Suizidversuche: Fundierung der Differenzialdiagnostik

Nitkowski

Petermann²

2009

Fortschr Neurol Psychiatr

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Three criteria for differential diagnosis of non-suicidal self-injury and suicide attempts were validated by means of more recent empirical studies. Criteria concerning motives (functions), methods of self-injury (medical severity), lifetime frequency and lifetime number of episodes were investigated. Literature research showed only a few studies concentrated on a direct comparison of non-suicidal self-injury and suicide attempts. Therefore, studies examing the relationship of suicide intent to the relevant features, are considered, too. Empirical results concerning motives (functions), methods (medical severity), lifetime frequency and number of episodes were compared to the three criteria. Except for lifetime frequency, studies support the criteria. However, in the case of motives, a more differentiated examination is needed to distinguish between non-suicidal self-injury and suicide attempts. To optimize the assessment, guidelines should be slightly modified. Because of the phenomenological overlap of non-suicidal self-injury and suicide attempts, a dimensional assessment can be helpful.

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Selbstverletzendes Verhalten und Suizidversuche: Fundierung der Differenzialdiagnostik

Nitkowski

Petermann²

2009

Fortschr Neurol Psychiatr

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Profiles of Suicidality and Clusters of Hungarian Adolescent Outpatients Suffering from Suicidal Behaviour

et al. 2009

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Background: The aim of the study was to reveal the background dimensions of suicidal behaviour (SB) and to identify clusters of Hungarian adolescent outpatients suffering from suicidality by means of the following correlates of SB: depression, inadequate conflict-solving methods, dysfunctional attitudes, maladaptive coping, help-seeking strategies and negative life events. Sampling and Methods: A self-report test battery was completed by every consecutive new adolescent outpatient from a representative patient pool of 5 local child psychiatric centres in Western Hungary over an 18-month period (n = 644). The questionnaires used were the pilot version of the Columbia Depression Scale, the Hungarian standard versions of the Beck Depression Inventory, the Ways of Coping Questionnaire, the Dysfunctional Attitude Scale and the Junior High Life Experiences Survey. A total of 110 adolescent outpatients (88 females, 22 males, mean age = 16.21 years, SD = 1.38) suffering from SB were included in the study. All diagnoses including SB were confirmed by the MINI Plus Mini International Neuropsychiatric Interview. K means clustering was used to compare variances of 19 variables to decide which ones are the major criteria for assigning subjects to clusters, and principal component analysis was utilized to identify background SB dimensions in the patient sample. Results: The cluster analysis identified 3 homogenous clusters differentiating suicidal adolescents characteristically: ‘stress-laden/medium depressive’, ‘low depressive/low achievement’ and ‘high depressive’ cluster groups. While cluster analysis confirmed the role of the severity of depression only, principal component analysis explored the following 4 underlying profiles of SB: stress-laden, dysfunctional, maladaptive and depressive/risky factors. Conclusions: Although important coping qualities failed to register as major criteria in the development of separate groups of suicidal adolescent outpatients, distinct background profiles of SB among Hungarian adolescents were found covering the risk groups according to clinical experience. Future research is warranted to identify possible variation in the coping strategies among different adolescent suicidal samples.

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Die klassifikatorische und prädiktive Qualität des Merkmals “suicide intent” bei Parasuiziden Eine clusteranalytische Untersuchung

Cited by 2 publications

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Selbstverletzendes Verhalten und Suizidversuche: Fundierung der Differenzialdiagnostik

Selbstverletzendes Verhalten und Suizidversuche: Fundierung der Differenzialdiagnostik

Profiles of Suicidality and Clusters of Hungarian Adolescent Outpatients Suffering from Suicidal Behaviour

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