The role of intense affective states in signaling a suicide crisis

被引:81
作者
Hendin, Herbert
Maltsberger, John T.
Szanto, Katalin
机构
[1] Suicide Prevent Int, New York, NY 10028 USA
[2] New York Med Coll, Dept Psychiat, Valhalla, NY 10595 USA
[3] Harvard Univ, Sch Med, Dept Psychiat, Cambridge, MA 02138 USA
[4] Univ Pittsburgh, Dept Psychiat, Pittsburgh, PA USA
关键词
suicide crisis; intense affects; desperation; imminent suicide; acute risk;
D O I
10.1097/NMD.0b013e318052264d
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We explore the extent to which intense affective states in depressed patients may signal a suicide crisis, i.e., an acute risk for suicide. Therapists for 36 patients who died by suicide while in treatment completed questionnaires and wrote detailed structured narratives. Nine affects-desperation, hopelessness, rage, anxiety, feelings of abandonment, loneliness, guilt, humiliation, and self-hatred were evaluated as to their intensity in the patient before the suicide. Comparable information was obtained on 26 depressed, nonsuicidal patients treated by the same therapists. The suicide patients had a significantly greater number of intense affects than did the comparison patients. The affect that most distinguished the 2 groups was desperation, which was intense in 30 (83%) of the suicide patients but in none of the comparison patients. Recognizing intense affective states and the interaction among them may help clinicians identify a suicide crisis in depressed patients.
引用
收藏
页码:363 / 368
页数:6
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