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題名 自殺企圖者的素質探討--以TPQ為例
作者 蔡靜怡
貢獻者 許文耀
蔡靜怡
關鍵詞 自殺企圖
素質
TPQ
日期 2004
上傳時間 18-九月-2009 18:33:30 (UTC+8)
摘要 　　根據素質-壓力模式（diathesis-stress model）的觀點指出，素質是增加自殺危險的脆弱特質，個體若具有容易引發自殺的脆弱特質，一但面臨重大的壓力，就容易發展出自殺意念及自殺行為。因此探討素質如何使個體進入自殺歷程，對於自殺預防將有很大的助益。
     
     本研究的目的是探討曾有自殺企圖的受試者與未有自殺企圖的受試者在人格特徵上的差異。受試者是133位曾發生自殺行為的自殺企圖者與133位與有自殺企圖的受試者在性別及年齡上配對的控制組，受試者皆完成三向度人格問卷（Tridimensional Personality Questionnaire,TPQ）、自殺危險程度量表（Scale of suicidal risk），以及貝氏憂鬱量表（Beck depression inventory,BDI）。
     
      　 研究結果顯示，新奇追求(NS)、傷害逃避(HA)與自殺意念，以及憂鬱之間的相關皆達顯著。本研究利用條件化洛回歸分析來預測與自殺企圖有關的危險及保護因子，結果顯示傷害逃避(HA)分數高時最能預測自殺企圖的發生；而新奇追求(NS)分數低時對於自殺企圖具有保護作用，會降低自殺企圖的發生。但是，傷害逃避(HA)分數高與新奇追求(NS)分數低交互作用時達顯著，顯示兩者同時出現時會提高自殺企圖的危險。
     　　
According to the diathesis-stress model, diathesis is persistent vulnerability to increase the risk of suicide. Individuals who own the trait of diathesis have been viewed as especially vulnerable to develop the suicidal behaviours when they experience high stress. For suicide prevention, it will be helpful to understand how the diathesis cause individuals enter the suicide process.
      The purpose of this study was to examine the difference between suicide attempters and normal controls in personality characteristic. Subjects were 133 suicide attempter with a history of suicide behaviours and the same number sex- and age-matched normal controls. Subjects completed a questionnaire consisting of Tridimensional Personality Questionnaire (TPQ), Scale of suicidal risk, and Beck depression inventory(BDI).
      Significant correlation was found among harm avoidance(HA),novelty seeking(NS) and suicide ideation,depression. Conditional logistic regression analyses has been conducted to predict the risk and protective factors of attempted suicide, and it was found that the high harm avoidance was significant risk, but the low novelty seeking was protective. However,the interaction between low novelty seeking and high harm avoidance was significant, when both of them show up, it would be under high suicide risk.
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behaviour.In K.Van Heeringen(Eds.),Understending suicidal
behavior. New York: John Wiley & Son LTD.
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pessimism: The hopelessness scale.Journal of Consulting and
Clinical Psychology,42,861-865.
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Csernansky,J.G.(1996).Platelet serotonergic markers and
tridimensional personality questionnaire measures in a
clinical sample.Society of Biological Psychiatry,40:271-278.
Nordstr□m,P.,Schalling,D.,& Asberg,M.(1995).Temperamental
vulnerability in attempted suicide.Acta Psychiatr Scand,92:
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描述 碩士
國立政治大學
心理學研究所
90752019
93
資料來源 http://thesis.lib.nccu.edu.tw/record/#G0907520191
資料類型 thesis
dc.contributor.advisor 許文耀zh_TW
dc.contributor.author (作者) 蔡靜怡zh_TW
dc.creator (作者) 蔡靜怡zh_TW
dc.date (日期) 2004en_US
dc.date.accessioned 18-九月-2009 18:33:30 (UTC+8)-
dc.date.available 18-九月-2009 18:33:30 (UTC+8)-
dc.date.issued (上傳時間) 18-九月-2009 18:33:30 (UTC+8)-
dc.identifier (其他 識別碼) G0907520191en_US
dc.identifier.uri (URI) https://nccur.lib.nccu.edu.tw/handle/140.119/36439-
dc.description (描述) 碩士zh_TW
dc.description (描述) 國立政治大學zh_TW
dc.description (描述) 心理學研究所zh_TW
dc.description (描述) 90752019zh_TW
dc.description (描述) 93zh_TW
dc.description.abstract (摘要) 　　根據素質-壓力模式（diathesis-stress model）的觀點指出，素質是增加自殺危險的脆弱特質，個體若具有容易引發自殺的脆弱特質，一但面臨重大的壓力，就容易發展出自殺意念及自殺行為。因此探討素質如何使個體進入自殺歷程，對於自殺預防將有很大的助益。
     
     本研究的目的是探討曾有自殺企圖的受試者與未有自殺企圖的受試者在人格特徵上的差異。受試者是133位曾發生自殺行為的自殺企圖者與133位與有自殺企圖的受試者在性別及年齡上配對的控制組，受試者皆完成三向度人格問卷（Tridimensional Personality Questionnaire,TPQ）、自殺危險程度量表（Scale of suicidal risk），以及貝氏憂鬱量表（Beck depression inventory,BDI）。
     
      　 研究結果顯示，新奇追求(NS)、傷害逃避(HA)與自殺意念，以及憂鬱之間的相關皆達顯著。本研究利用條件化洛回歸分析來預測與自殺企圖有關的危險及保護因子，結果顯示傷害逃避(HA)分數高時最能預測自殺企圖的發生；而新奇追求(NS)分數低時對於自殺企圖具有保護作用，會降低自殺企圖的發生。但是，傷害逃避(HA)分數高與新奇追求(NS)分數低交互作用時達顯著，顯示兩者同時出現時會提高自殺企圖的危險。
     　　		zh_TW
dc.description.abstract (摘要) According to the diathesis-stress model, diathesis is persistent vulnerability to increase the risk of suicide. Individuals who own the trait of diathesis have been viewed as especially vulnerable to develop the suicidal behaviours when they experience high stress. For suicide prevention, it will be helpful to understand how the diathesis cause individuals enter the suicide process.
      The purpose of this study was to examine the difference between suicide attempters and normal controls in personality characteristic. Subjects were 133 suicide attempter with a history of suicide behaviours and the same number sex- and age-matched normal controls. Subjects completed a questionnaire consisting of Tridimensional Personality Questionnaire (TPQ), Scale of suicidal risk, and Beck depression inventory(BDI).
      Significant correlation was found among harm avoidance(HA),novelty seeking(NS) and suicide ideation,depression. Conditional logistic regression analyses has been conducted to predict the risk and protective factors of attempted suicide, and it was found that the high harm avoidance was significant risk, but the low novelty seeking was protective. However,the interaction between low novelty seeking and high harm avoidance was significant, when both of them show up, it would be under high suicide risk.		en_US
dc.description.tableofcontents 第一章 緒論 1
      第一節 自殺的定義 4
      第二節 自殺行為的研究 5
      第三節 素質與自殺的相關研究 11
      第四節 素質研究與人格理論 16
      第五節 心理生物模式（psychobiological model）理論 19
      第六節 心理生物模式與自殺的關係 22
     　　第七節 研究目的與假設 　　　　　　　　　　　　　　　 26
     第二章 研究方法
     第一節 受試者 29
     第二節 研究工具 32
     第三節 施測程序 34
     第四節 資料分析 　　　　　　　　　　　　　　　　　　 34
     第三章 結果分析
     　　第一節　人格向度與自殺意念、憂鬱的相關 36
     　　第二節 有無自殺企圖在人格向度上的差異顯著性考驗 36
      第三節　以有、無自殺企圖為依變項的條件化洛回歸分析 38
     第四章　討論
     第一節 綜合討論 39
     第二節 研究限制與建議 42
     參考文獻 43
     附錄
     附錄一 三項度人格問卷 51
     附錄二 憂鬱量表 55
     附錄三 自殺危險程度量表 57
     
     
     表目次
     表1-2　 自殺的危險因子 　 　　　　　　　　　　　　　　　 　7
     表1-6-1　兩兩向度交互作用後之特徵 　 　　　　　　　　　　 25
     表1-6-2　人格特徵類型與傳統人格分類 25
     表1-6-3　氣質類型 25
     表2-1　 受試者資料表 　　　　　　　　　　　　　　　　　 31
     表3 各自變項的平均數及標準差 35
     表3-2-1　t 檢定 37
     表3-2-2　費雪正確機率考驗 37
     表3-3 以有無自殺企圖為依變項的條件化洛基迴歸分析結果 38		zh_TW
dc.language.iso en_US-
dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0907520191en_US
dc.subject (關鍵詞) 自殺企圖zh_TW
dc.subject (關鍵詞) 素質zh_TW
dc.subject (關鍵詞) TPQen_US
dc.title (題名) 自殺企圖者的素質探討--以TPQ為例zh_TW
dc.type (資料類型) thesisen
dc.relation.reference (參考文獻) 許文耀，鍾瑞玫（1997）「自殺危險程度量表」的編製及其信、效度考驗，中華心理衛生學刊，10卷，2期，頁1-17.zh_TW
dc.relation.reference (參考文獻) Apter,A.,Plutchik,R.,& Van Praag,H.M.(1993).Anxiety,impulsivityzh_TW
dc.relation.reference (參考文獻) and depressed mood in relation to suicide and violent behavior.zh_TW
dc.relation.reference (參考文獻) Acta Psychiatrica Scandivavica,87:1-5.zh_TW
dc.relation.reference (參考文獻) Apter,A.,& Ofek,H.(2001).Personality constellations and suicidalzh_TW
dc.relation.reference (參考文獻) behaviour.In K.Van Heeringen(Eds.),Understending suicidalzh_TW
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dc.relation.reference (參考文獻) pessimism: The hopelessness scale.Journal of Consulting andzh_TW
dc.relation.reference (參考文獻) Clinical Psychology,42,861-865.zh_TW
dc.relation.reference (參考文獻) Beck,A.T.,Kovacs,M.,& Weissman,A.(1979).Assessment of suicidezh_TW
dc.relation.reference (參考文獻) Csernansky,J.G.(1996).Platelet serotonergic markers andzh_TW
dc.relation.reference (參考文獻) tridimensional personality questionnaire measures in azh_TW
dc.relation.reference (參考文獻) clinical sample.Society of Biological Psychiatry,40:271-278.zh_TW
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dc.relation.reference (參考文獻) vulnerability in attempted suicide.Acta Psychiatr Scand,92:zh_TW
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dc.relation.reference (參考文獻) intention:The scale for suicide ideation.Journal ofzh_TW
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dc.relation.reference (參考文獻) A.L.Berman,& M.M.Sliverman (Eds.),Comprehensive textbook ofzh_TW
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dc.relation.reference (參考文獻) In A.T.Beck,H.L.P.Resnik & D.J.Lettieri(Eds.),Thezh_TW
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dc.relation.reference (參考文獻) of Psychiatry,149:999-1010.zh_TW
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