边缘型人格障碍患者的终生自杀率大约是10%。[65]Zaheer J, Links PS, Liu E. Assessment and emergency management of suicidality in personality disorders. Psychiatr Clin North Am. 2008 Sep;31(3):527-43.http://www.ncbi.nlm.nih.gov/pubmed/18638651?tool=bestpractice.com[115]Soloff PH, Fabio A, Kelly TM, et al. High-lethality status in patients with borderline personality disorder. J Pers Disord. 2005 Aug;19(4):386-99.http://www.ncbi.nlm.nih.gov/pubmed/16178681?tool=bestpractice.com 高致死率的自杀企图与合并有创伤后应激障碍、情感障碍、恐惧症、反社会型人格障碍、物质滥用、分裂型人格障碍和厌食症有关。[65]Zaheer J, Links PS, Liu E. Assessment and emergency management of suicidality in personality disorders. Psychiatr Clin North Am. 2008 Sep;31(3):527-43.http://www.ncbi.nlm.nih.gov/pubmed/18638651?tool=bestpractice.com[115]Soloff PH, Fabio A, Kelly TM, et al. High-lethality status in patients with borderline personality disorder. J Pers Disord. 2005 Aug;19(4):386-99.http://www.ncbi.nlm.nih.gov/pubmed/16178681?tool=bestpractice.com[116]Oldham JM. Borderline personality disorder and suicidality. Am J Psychiatry. 2006 Jan;163(1):20-6.http://www.ncbi.nlm.nih.gov/pubmed/16390884?tool=bestpractice.com 忽视病史和滥用普遍。[116]Oldham JM. Borderline personality disorder and suicidality. Am J Psychiatry. 2006 Jan;163(1):20-6.http://www.ncbi.nlm.nih.gov/pubmed/16390884?tool=bestpractice.com 一项系统综述认为长程心理治疗,尤其是循证行为疗法和心智化心理治疗已被证实对减少自杀企图和姿态性自杀行为有效。[117]McMain S. Effectiveness of psychosocial treatments on suicidality in personality disorders. Can J Psychiatry. 2007 Jun;52(6 Suppl 1):103S-14S.http://www.ncbi.nlm.nih.gov/pubmed/17824356?tool=bestpractice.com 两种治疗方法有共同的内容成分,未来研究需要评估他们的功效。[117]McMain S. Effectiveness of psychosocial treatments on suicidality in personality disorders. Can J Psychiatry. 2007 Jun;52(6 Suppl 1):103S-14S.http://www.ncbi.nlm.nih.gov/pubmed/17824356?tool=bestpractice.com
自杀风险管理
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