DEVELOPMENTAL PSYCHOPATHOLOGY IN SUICIDAL AND NONSUICIDAL ADOLESCENT GIRLS

被引:14
作者
BORST, SR
NOAM, GG
机构
[1] MCLEAN HOSP, BELMONT, MA 02178 USA
[2] HARVARD UNIV, SCH MED, DEV PSYCHOL & DEV PSYCHOPATHOL LAB, BOSTON, MA 02115 USA
关键词
SUICIDE ATTEMPTS; ADOLESCENTS; EGO DEVELOPMENT; PROFILES;
D O I
10.1097/00004583-199305000-00003
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Objective: This study presents two distinct profiles of female suicide attempters based on social-cognitive development and investigates the relationship of both developmental and suicide risk variables in these profiles. Method: The sample included 139 girls, aged 13-16, admitted to an inpatient psychiatric hospital. Patients were divided into four groups based on their suicidal status (attempter/nonsuicidal) and ego development (preconformist/conformist level). Results: Results support two developmental types of female suicide attempters that differed significantly on symptomatology, diagnoses, and defensive style. Preconformist attempters, the ''angry-defiant'' suicidal type, present with both depression and aggression as well as externalizing defense mechanisms. Conformist attempters, the ''self-blaming'' suicidal type, present with depression, and use more internalizing defenses to cope with conflict. Comparing suicide attempters and nonsuicidal girls, depression was found to be a risk factor for suicide at all developmental levels. Defense mechanisms were only associated with suicide at the preconformist developmental level. Conclusions: Social-cognitive development has an important impact on the expression of suicidal behavior in adolescent girls.
引用
收藏
页码:501 / 508
页数:8
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