• 作者：Christophe Versaevel ; Fr¨¦d¨¦rique Vinckier ; Robert Jeanson ; Laurent Defromont ; V¨¦ronique Lebouteiller ; Christine Lajugie
• 关键词：Dé ; pression ; Personnalité ; dé ; pendante ; Personnalité ; é ; tat-limite ; Personnalité ; é ; vitante ; Suicidant ; Tentative de suicide
• 刊名：Annales medico-psychologiques
• 出版年：2013
• 出版时间：May, 2013
• 年：2013
• 卷：171
• 期：4
• 页码：232-237
• 全文大小：237 K

Objectives

We wanted to study the risk factor of suicide which is the Dependent Personality disorder (DPD). A better knowledge of this risk factor could help us to improve our clinical care with these patients. The objectives of the study are: know the frequency of the DPD in suicide attempters; show that dependent patients had more histories of attempts of suicide; show that dependent patients had a lower socio-family insertion; show that dependent patients don¡¯t use more toxics; show that dependent patients had more histories of psychiatric appointments; show that dependent patients are more depressed (criteria of the DSM IV); show that dependent patients come more easy at the first ambulatory appointment.

Method

The population are the suicide attempters meet in the emergency unit of the general hospital of Armenti¨¨res. The methodology of the study is retrospective. We look for criteria in medical records. The questionnaire of dependent personality (QPD) proposed by Tyrer and translate in French by Loas, measure the dependent dimension of personality. We use this questionnaire usually.

Results

The sample included 108?suicide attempters: 61?women and 47?men. 48.1 % are dependent. 38.5 % of the dependent patients are depressed versus 19.5 % of the no-dependent patients. This could disturb results. Then, we analysed data without depressed patients. In this way, we demonstrate that dependent patients have more histories of attempts of suicide, had a lower socio-family insertion, don¡¯t use more toxics, have more histories of psychiatric appointments and come more easy at the first ambulatory appointment. We also demonstrate that the depressed patients attempt suicide with a stronger intentionnality and are more hospitalized.

Conclusion

This study increases the knowledge about two suicide risk factors: The dependent personality and depression. This can help us in clinical care. Dependent patients accept easily the support, which he needs. However, the psychiatrist, even if he supports the patient himself, must try to increase the patient's autonomy. Self-esteem and relationships must be better for that. For depressed patients, it is necessary to watch at first the protection. The educational approach on the depressive disease and medication compliance is also important. The educational approach should include the patient, his (her) family and his (her) general practitioner because depressed patients are not compliant in the follow-up.