BACKGROUND Suicide is a major social issue, affected by both social and psychopathological factors. This study investigated suicide risk assessment using the Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2-RF). METHODS Data were collected from 7824 college students using the MMPI-2-RF. The participants were classified into high-, moderate-, and low-risk for suicide groups based on their scores on the structured Mini-International Neuropsychiatric Interview (MINI) for comparative analysis. The relationships between scores on the Restructured Clinical (RC) Scales of the MMPI-2-RF and suicide risk level were investigated using a multiple logistic regression. RESULTS Out of the 7824 participants, 964 (12.3%) were identified as being at risk of suicide. There were 553 participants considered low-risk, 312 moderate-risk, and 99 at high-risk. Suicide risk in the participants tended to increase as RC scale scores increased. Out of the nine RC scales, the Demoralization (RCd) and Negative Emotions (RC7) scale scores were highest across all risk groups. The results of a multiple logistic regression indicated that the Demoralization (RCd) scores were significantly elevated in all three suicide risk groups. Antisocial Behavior (RC4) and Aberrant Experiences (RC8) scale scores were significantly elevated for the low-risk group, whereas Somatic Complaints (RC1) scores were elevated for the moderate-risk group, and Somatic Complaints (RC1), Low Positive Emotions (RC2), Antisocial Behavior (RC4), and Ideas of Persecution (RC6) scale scores were elevated for the high-risk group. CONCLUSIONS Compared to the healthy control group, all three suicide risk groups showed elevated scores on the RC Scales overall, suggesting that various psychopathological factors are involved in the etiology of suicide. More psychopathologic factors were found to influence suicide-related issues in the higher risk groups than lower risk groups, suggesting that more risk factors are involved in higher suicide risk groups. Compared to healthy controls, even the low-risk group showed a significant elevation in emotional factors and antisocial behaviors. While the healthy controls and those at risk of suicide differed significantly on both the Demoralization (RCd) and Negative Emotions (RC7) scales, only the Demoralization (RCd) scale appeared to be able to screen for high suicide risk.

中文翻译：

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使用明尼苏达州多相人格清单-2 重组形式评估自杀风险。

背景自杀是一个主要的社会问题，受社会和精神病理学因素的影响。本研究使用明尼苏达多相人格量表 2 重组表 (MMPI-2-RF) 调查自杀风险评估。方法 使用 MMPI-2-RF 从 7824 名大学生中收集数据。根据参与者在结构化迷你国际神经精神病学访谈 (MINI) 中的得分进行比较分析，将参与者分为高危、中危和低危自杀组。使用多元逻辑回归研究了 MMPI-2-RF 的重组临床 (RC) 量表评分与自杀风险水平之间的关系。结果 在 7824 名参与者中，964 名 (12.3%) 被确定为有自杀风险。有 553 名参与者被认为是低风险、312 名中等风险、和 99 处于高风险状态。随着 RC 量表分数的增加，参与者的自杀风险往往会增加。在九个 RC 量表中，士气低落 (RCd) 和负面情绪 (RC7) 量表得分在所有风险组中最高。多元逻辑回归的结果表明，所有三个自杀风险组的士气低落（RCd）评分均显着升高。低风险组的反社会行为 (RC4) 和异常体验 (RC8) 量表得分显着升高，而中度风险组的躯体主诉 (RC1) 分数升高，躯体主诉 (RC1)、低积极情绪 ( RC2)、反社会行为 (RC4) 和迫害观念 (RC6) 量表得分在高风险组中有所提高。结论 与健康对照组相比，所有三个自杀风险组在 RC 量表上的总体得分均有所提高，这表明各种精神病理学因素与自杀的病因有关。与低风险组相比，发现更多的精神病理学因素影响了高风险组的自杀相关问题，这表明更多的风险因素参与了高自杀风险组。与健康对照组相比，即使是低风险组的情绪因素和反社会行为也显着升高。虽然健康对照组和有自杀风险的人在士气低落 (RCd) 和消极情绪 (RC7) 量表上存在显着差异，但似乎只有士气低落 (RCd) 量表能够筛查高自杀风险。表明各种精神病理学因素与自杀的病因有关。与低风险组相比，发现更多的精神病理学因素影响了高风险组的自杀相关问题，这表明更多的风险因素参与了高自杀风险组。与健康对照组相比，即使是低风险组的情绪因素和反社会行为也显着升高。虽然健康对照组和有自杀风险的人在士气低落 (RCd) 和消极情绪 (RC7) 量表上存在显着差异，但似乎只有士气低落 (RCd) 量表能够筛查高自杀风险。表明各种精神病理学因素与自杀的病因有关。与低风险组相比，发现更多的精神病理学因素影响了高风险组的自杀相关问题，这表明更多的风险因素参与了高自杀风险组。与健康对照组相比，即使是低风险组的情绪因素和反社会行为也显着升高。虽然健康对照组和有自杀风险的人在士气低落 (RCd) 和消极情绪 (RC7) 量表上存在显着差异，但似乎只有士气低落 (RCd) 量表能够筛查高自杀风险。表明更多的风险因素涉及更高的自杀风险群体。与健康对照组相比，即使是低风险组的情绪因素和反社会行为也显着升高。虽然健康对照组和有自杀风险的人在士气低落 (RCd) 和消极情绪 (RC7) 量表上存在显着差异，但似乎只有士气低落 (RCd) 量表能够筛查高自杀风险。表明更多的风险因素涉及更高的自杀风险群体。与健康对照组相比，即使是低风险组的情绪因素和反社会行为也显着升高。虽然健康对照组和有自杀风险的人在士气低落 (RCd) 和消极情绪 (RC7) 量表上存在显着差异，但似乎只有士气低落 (RCd) 量表能够筛查高自杀风险。