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首页> 外文期刊>The International journal of social psychiatry >Suicide in the absence of mental disorder? A review of psychological autopsy studies across countries
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Suicide in the absence of mental disorder? A review of psychological autopsy studies across countries

机译：在没有精神障碍的情况下自杀？各国心理尸检研究综述

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Background: While numerous past reviews of psychological autopsy (PA) studies have examined the relationship between mental disorder and suicide, there has been little systematic investigation of suicide occurring in the absence of any identifiable psychiatric condition. Aim: This article reviews available literature on the topic by considering Axis I, sub-threshold, mild disorders and personality disorders. Method: We conducted a systematic review of PA studies from 2000 onwards. Studies included in the review had to clearly describe the proportion of suicide cases without a classifiable mental disorder or sub-threshold condition. Results: Up to 66.7% of suicide cases remained without diagnosis in those studies that only examined Axis I disorders (n = 14). Approximately 37.1% of suicide cases had no psychiatric condition in research papers that assessed personality and Axis I disorders (n = 9), and 37% of suicides had no Axis I, sub-threshold/mild conditions (n = 6). In general, areas in China and India had a higher proportion of suicides without a diagnosis than studies based in Europe, North America or Canada. Conclusion: Variation in the proportion of suicide cases without a psychiatric condition may reflect cultural specificities in the conceptualization and diagnosis of mental disorder, as well as methodological and design-related differences between studies.
机译：背景：尽管过去对心理尸检（PA）研究的许多评论都研究了精神障碍与自杀之间的关系，但在没有任何可确定的精神病状况的情况下，对自杀发生的系统研究很少。目的：本文通过考虑轴I，亚阈值，轻度障碍和人格障碍来回顾有关该主题的现有文献。方法：我们对2000年以来的PA研究进行了系统评价。该评价中包括的研究必须清楚地描述没有可分类的精神障碍或亚阈值状况的自杀病例的比例。结果：在仅检查轴心病（n = 14）的那些研究中，仍有高达66.7％的自杀病例未得到诊断。在评估人格和Axis I障碍的研究论文中，约有37.1％的自杀病例没有精神病（n = 9），而没有Axis I的亚阈值/轻度疾病（n = 6）的自杀者占37％。总体而言，与欧洲，北美或加拿大的研究相比，中国和印度的自杀率更高。结论：未患有精神病的自杀病例比例的变化可能反映了精神障碍的概念和诊断中的文化特点，以及研究之间在方法和设计方面的差异。

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