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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Impulsivity in Suicide Attempters: A Cross-sectional Study from a Teaching Hospital in India
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Impulsivity in Suicide Attempters: A Cross-sectional Study from a Teaching Hospital in India

机译：自杀企图者的冲动：来自印度教学医院的横断面研究

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Studies have consistently reported that a considerable proportion of suicide attempts are impulsive and unplanned. However, data on the characteristics of these impulsive attempters is still limited. The relationship between impulsive behaviour and suicide attempts can be thought of having two dimensions: a suicide attempt can be impulsive or not and the suicide attempter can have impulsive traits or not. The impulsiveness of many attempts and the fluctuating nature of suicidal thinking are of concern, as many prevention strategies rely on the early identification of either suicidal thoughts and/or plans.Aim: The present study was attempted to measure the intensity of the suicide attempt, and to assess the relationship of the suicide intent score with the three second order factors (Attention impulsiveness, motor impulsiveness, non planning impulsiveness) of impulsivity in Barratt Impulsiveness Scale to identify the pattern (if any) of suicidal intent before an impulsive attempt.Materials and Methods: This was a hospital based cross sectional study. Socio-demographic and clinical profile sheet which included different variables was completed on 72 attempters. Beck?s Suicide Intent Scale (SIS) was used to assess the severity of the intent in the patient and Barratt Impulsiveness Scale (BIS-11) was used to measure the personality construct of impulsiveness. Data entry and analysis was done using SPSS 20 statistical software and descriptive statistics, chi-square test, t-test were used to find significance across groups. Statistical significance was assumed at p<0.05.Results: Among the 72 attempters, 38 (52.8%) were male and 34 (47.2%) were females. Majority of the sample were illiterate 30 (42%), from a rural background 61 (84.7%), whose primary method of attempt was by ingestion of poison 51 (70.8%) due to family/inter personal problems 43 (59.7%). The sample was divided based on their scores of suicide intent scale and the three second order factor scores of BIS. High suicide intent score was present in majority of the patients 35 (48.6%), and 14 (19.5%) patients had low suicide intent score. The mean scores of impulsivity were highest among the low suicide intent group, and were gradually decreasing as the intent of the attempt was increasing (from low to high) in the sub scales of attention impulsiveness (15.6±1.94) and non-planning impulsiveness (31.5±2.65) which suggests that low intent attempts may be impulsive acts. When individual suicidal intent groups were compared, a significant difference found between motor impulsiveness and non-planning impulsiveness within medium intent (p=0.043) and between attention impulsiveness and non-planning impulsiveness within high intent (p=0.012).Conclusion: There is a significant association between impulsivity and intent, and it is an important factor of suicide behaviour in suicide attempters.
机译：研究一致地报告，相当大比例的自杀企图是冲动性的和无计划的。但是，关于这些冲动尝试者的特征的数据仍然有限。冲动行为和自杀企图之间的关系可以被认为具有两个维度：自杀企图可以是冲动的，或者自杀企图者可以具有冲动的特质。许多尝试的冲动性和自杀思维的波动性值得关注，因为许多预防策略都依赖于对自杀想法和/或计划的早期识别。目标：本研究旨在衡量自杀倾向的强度。自杀企图，并评估自杀意图得分与Barratt冲动量表中冲动的三个二级因素（注意冲动，运动冲动，非计划冲动）的关系，以确定冲动前自杀意图的模式（如果有） 材料与方法：这是一项基于医院的横断面研究。社会人口统计学和临床​​概况表包括72个尝试者，其中包括不同的变量。用贝克自杀倾向量表（SIS）评估患者意图的严重程度，使用巴拉特冲动量表（BIS-11）来测量冲动的人格结构。使用SPSS 20统计软件进行数据输入和分析，并使用描述性统计，卡方检验，t检验来发现各组之间的显着性。假设有统计学意义，p <0.05。结果：在72名尝试者中，男性38名（52.8％），女性34名（47.2％）。样本的大多数是文盲30（42％），来自农村背景61（84.7％），其主要尝试方法是由于家庭/内部人际交往43（59.7％）而摄入毒药51（70.8％）。根据他们的自杀意向量表得分和BIS的三个二阶因子得分对样本进行划分。 35名患者（48.6％）的自杀意向得分高，14名患者（19.5％）的自杀意向得分低。在低自杀意图组中，冲动的平均得分最高，在注意冲动（15.6±1.94）和非计划性冲动（15.6±1.94）的子量表中，随着尝试意图的增加（从低到高），分数逐渐降低。 （31.5±2.65），这表明低意图尝试可能是冲动行为。比较各个自杀意向组时，在中等意图内的运动冲动和非计划性冲动之间（p = 0.043），在高度意图内的注意冲动和非计划性冲动之间存在显着差异（p = 0.012）。结论：冲动和意图之间存在显着关联，这是自杀未遂者自杀行为的重要因素。

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