Familial and socilopsychopathological risk factors for suicide attempt in bulilmic and in depressed women: Prospective study

被引:10
作者
Nickel, Marius K. [1 ]
Simek, Marietta
Lojewski, Niluefer
Muehlbacher, Moritz
Fartacek, Reinhold
Kettler, Christian
Bachler, Egon
Egger, Christoph
Rother, Nadine
Buschmann, Wiebke
Gil, Francisco Pedrosa
Kaplan, Patrick
Mitterlehner, Ferdinand O.
Anvar, Javaid
Rother, Wolfhardt K.
Loew, Thomas H.
Nickel, Cerstin
机构
[1] Inntalklin, Clin Psychosomat Med, D-84359 Simbach am Inn, Germany
[2] Salzburg Univ, PMU, Clin Psychiat 1, Salzburg, Austria
[3] Clin Univ Regensburg, Dept Psychosomat Med, Regensburg, Germany
[4] Ambulatory Therapeut Family Counseling, Salzburg, Austria
[5] Univ Munich, Med Clin, Munich, Germany
关键词
bulimia nervosa; major depression; suicide; risk factors; family history; aggression;
D O I
10.1002/eat.20288
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective: This study was carried out to examine sociopsychopathological predictors of prospective observed suicide attempts in bulimic women purging type without comorbid major depression (BNG) at the time of study entry and in woman with major depression without comorbid eating disorder at the time of study entry (MDG). Method: Data from 28 BNG (age 23.5 +/- 3.6) and 126 MDG women (age 33.4 +/- 5.1) who had attempted suicide during 12 months' monitoring were compared. Results: A univariate comparison of the two groups revealed various differences. Analysis of risk factors for suicide attempts using stepwise logistic regression was conducted separately for each group. The derived logistic models showed that patients from the BNG group had a history of higher incidence of sexual abuse in childhood, as well as abuse of laxatives and illicit drugs; they also lacked orientation in life, felt lonely despite family and friends, tended to direct their anger outward. and were unable to relax. Conclusion: Sociopsychopathological risk factors for suicide attempts in the BNG and MDG appear to vary. (c) 2006 by Wiley Periodicals, Inc.
引用
收藏
页码:410 / 417
页数:8
相关论文
共 43 条
[1]   Familial, psychiatric, and socioeconomic risk factors for suicide in young people: nested case-control study [J].
Agerbo, E ;
Nordentoft, M ;
Mortensen, PB .
BMJ-BRITISH MEDICAL JOURNAL, 2002, 325 (7355) :74-77
[2]  
[Anonymous], 1995, Fragebogen zur Erfassung des Gesundheitsverhaltens (FEG): Handanweisung [Questionnaire to Assess Health Behaviour]
[3]  
[Anonymous], 1997, Skalen zur Erfassung der Lebensqualitat: SEL
[4]  
BRAECHLER E, 1992, GIESSENER FRAGEBOGEN
[5]   Familial pathways to early-onset suicide attempt - Risk for suicidal behavior in offspring of mood-disordered suicide attempters [J].
Brent, DA ;
Oquendo, M ;
Birmaher, B ;
Greenhill, L ;
Kolko, D ;
Stanley, B ;
Zelazny, J ;
Brodsky, B ;
Bridge, J ;
Ellis, S ;
Salazar, JO ;
Mann, JJ .
ARCHIVES OF GENERAL PSYCHIATRY, 2002, 59 (09) :801-807
[6]   Childhood abuse and neglect: Specificity of effects on adolescent and young adult depression and suicidality [J].
Brown, J ;
Cohen, P ;
Johnson, JG ;
Smailes, EM .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1999, 38 (12) :1490-1496
[7]   Temperament, character and suicide attempts in anorexia nervosa, bulimia nervosa and major depression [J].
Bulik, CM ;
Sullivan, PF ;
Joyce, PR .
ACTA PSYCHIATRICA SCANDINAVICA, 1999, 100 (01) :27-32
[8]   Suicide attempts in women with bulimia nervosa:: frequency and characteristics [J].
Corcos, M ;
Taïeb, O ;
Benoit-Lamy, S ;
Paterniti, S ;
Jeammet, P ;
Flament, MF .
ACTA PSYCHIATRICA SCANDINAVICA, 2002, 106 (05) :381-386
[9]   Childhood abuse, household dysfunction, and the risk of attempted suicide throughout the life span - Findings from the adverse childhood experiences study [J].
Dube, SR ;
Anda, RF ;
Felitti, VJ ;
Chapman, DP ;
Williamson, DF ;
Giles, WH .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2001, 286 (24) :3089-3096
[10]  
FAHRENBERG J, 1998, FRAGEBOGEN LEBENSZUF