우울 장애 환자 중 자살 고위험군의 심리적 특성

• 영문명: Psychological Characteristics of Patients in Depression with High Suicide Risk: Using MMPI-2-RF
• 발행기관: 대한신경정신의학회
• 저자명: 박초연(Choyeon Park) 김은경(Eunkyeong Kim) 최준호(Joonho Choi)
• 간행물 정보: 『신경정신의학』제59권 제3호, 268~276쪽, 전체 9쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2020.08.31

영문 초록

Objectives The purpose of this study was to examine whether or not MMPI-2-RF can be used as a useful tool to differentiate between the subtypes of high suicide risk among patients with depression. Methods Patients were recruited from the department of psychiatry at a university hospital. Participants were diagnosed using DSM-5 criteria by board certified psychiatrists. Their medical records were reviewed, and participants were put into three groups (Depression with suicide attempt, Depression with suicide ideation, and Normal as a control group). For statistical comparison, MANCOVA with gender as a covariate was used. Results Similar to pervious research, the two Depression groups with high suicide risk showed significantly higher Emotional/Internalizing Dysfunction, Negative Emotionally/Neuroticism-Revised, Demoralization, Dysfunctional Negative Emotions, Suicidal/Death Ideation, Helplessness/ Hopelessness, Self-Doubt, Stress/Worry, and Cognitive complaints than the normal group. In the Depression with suicide attempt group, Behavioral/Externalizing Dysfunction scales were significantly higher than the Depression with suicide ideation group. Conclusion The results show the significant prediction of MMPI-2-RF scales for suicide risk. Severity of mental pain (EID) and impulsive acting-out tendency of mental pain (BXD) were identified as important psychological characteristics of depression patients with suicide risk. The limitations of this study and suggested directions for future research are also discussed.

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키워드

자살 고위험군 자살사고 자살기도 우울증 미네소타 다면 인성검사 II 재구성판 High risk of suicide Suicide ideation Suicide attempt Depression MMPI-2-RF