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우울 장애 환자 중 자살 고위험군의 심리적 특성: MMPI-2-RF를 이용하여

Psychological Characteristics of Patients in Depression with High Suicide Risk: Using MMPI-2-RF

신경정신의학 2020년 59권 3호 p.268 ~ 276
박초연, 김은경, 최준호,
소속 상세정보
박초연 ( Park Cho-Yeon ) - Hanyang University College of Medicine Department of Psychiatry
김은경 ( Kim Eun-Kyeong ) - Hanyang University Guri Hospital Department of Psychiatry
최준호 ( Choi Joon-Ho ) - Hanyang University College of Medicine Department of Psychiatry

Abstract


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.

키워드

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

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