Background:

Suicide results from complex interactions of various risk factors—reasons for dying (RFD)—and protective factors—reasons for living (RFL). Suicide is not necessarily a wish to die but may be an appeal for help. We analyzed RFD and RFL in persons who had attempted suicide, through their clinical records at a Crisis Intervention Clinic (CIC).

Methods:

We retrospectively analyzed demographic and clinical data, and classified RFD and RFL, among patients with either ideas or attempt of suicide registered at our CIC (N = 83). Using two open-ended questions from the clinical history data, we derived their RFD or RFL; (n = 53) completed these questions regarding RFD-RFL.

Results:

In the total sample, males and females were equally represented and educated, but males were significantly older. Most common diagnosis was nonpsychotic mood disorder. Commonest mode of suicide attempt was hanging. Family conflict vs. family responsibility, hope vs. hopelessness, stressful life events, and negative cognitions about the self and the world were important RFD. RFL included feeling responsible, love for family and for self, hope, career success, and religious beliefs,

Conclusion:

RFD and RFL could both be grouped in similar categories related to family, career, hope, etc.

中文翻译：

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人为什么会生或死？印度北部危机干预诊所的回顾性研究

背景：

自杀是各种风险因素——死亡原因（RFD）和保护因素——生存原因（RFL）复杂相互作用的结果。自杀不一定是想死，但可能是寻求帮助。我们通过危机干预诊所 (CIC) 的临床记录分析了自杀未遂者的 RFD 和 RFL。

方法：

我们回顾性分析了在我们 CIC 登记的有自杀想法或企图自杀的患者（N = 83）的人口统计和临床数据，并对 RFD 和 RFL 进行了分类。使用来自临床病史数据的两个开放式问题，我们得出了他们的 RFD 或 RFL；( n = 53) 完成了有关 RFD-RFL 的这些问题。

结果：

在总样本中，男性和女性的代表性和受教育程度相同，但男性的年龄明显更大。最常见的诊断是非精神病性情绪障碍。最常见的自杀未遂方式是上吊。家庭冲突与家庭责任、希望与绝望、压力性生活事件以及对自我和世界的负面认知是重要的 RFD。RFL 包括责任感、对家庭和自我的爱、希望、事业成功和宗教信仰，

结论：

RFD 和 RFL 都可以归为与家庭、职业、希望等相关的相似类别。