新兵人格障碍自杀相关风险行为调查

Investigation on Suicide Risk Behaviors of Personality Disorders in Military Recruits

目的调查新兵人格障碍(personality disorder,PD)自杀相关风险行为及临床特点。方法以作者医院2014~2019年,新兵精神障碍鉴定中诊断人格障碍的新兵为调查对象,回顾性分析不同人格障碍自杀相关行为的发生风险。结果共34名新兵被诊断为人格障碍,其中男性33名,女性1名。存在攻击行为15例,占比44.12%;存在自伤行为15例,占比44.12%;存在自杀意念18例,占比52.94%;存在自杀未遂5例,占比14.71%。分裂样、边缘型和冲动型人格障碍是最常见的人格障碍,占全部人格障碍的73.53%。社交紊乱型、冲动型和偏执型人格障碍攻击行为风险高,边缘型和冲动型人格障碍自伤、自杀意念及自杀未遂风险高。结论新兵人格障碍自杀风险相对较高,不同的人格障碍自杀风险存在差异。对人格障碍的准确识别,有利于提出针对性的自杀干预策略,维护部队的安全稳定。

Objective To investigate the suicide risk behaviors and clinical characteristics of military recruits with personality disorder.Methods Taking the military recruits diagnosed as personality disorder in the psychiatric identification in authors’hospital from 2014 to 2019 as the target object,the risk of suicide-related behaviors of different personality disorders was retrospectively analyzed.Results A total of 34 recruits were diagnosed with personality disorders,including 33 males and 1 female.There were 15 cases of impulse injury,accounting for 44.12%;15 cases of deliberate self-harm,accounting for 44.12%;18 cases of suicide ideation,accounting for 52.94%;5 cases of attempted suicide,accounting for 14.71%.Schizoid,borderline and impulsive personality disorders were the most common personality disorders,accounting for 73.53%of all personality disorders.Dissocial,impulsive and paranoid personality disorder had high risk of impulsive injury,while borderline personality disorder and impulsive personality disorder had high risk of deliberate self-harm,suicidal ideation and attempted suicide.Conclusion The suicide risk of military recruits with personality disorder is relatively high,and there are different among the suicide risk of different personality disorders.Accurate identification of personality disorders is conducive to develop effective interventions and maintain the security and stability of the armed forces.