Suicidal behavior in patients with schizophrenia and other psychotic disorders.

作者: Elizabeth D. Radomsky , Gretchen L. Haas , J. John Mann , John A. Sweeney

DOI: 10.1176/AJP.156.10.1590

关键词:

摘要: Objective: Patients with schizophrenia are known to be at high risk for suicide attempts and dying by suicide. However, little research has been conducted determine whether the suicidal behavior is elevated among patients psychosis in general. Method: This study evaluated 1-month lifetime rates of 1,048 consecutively admitted psychiatric inpatients (ages 18 55 years) DSM-III-R psychotic disorders. Demographic, clinical, diagnostic correlates were examined. Results: A rate was found group: 30.2% reported a history attempts, 7.2% attempt month before admission. The highest schizoaffective disorder major depression features. Ratings medical dangerousness most recent on basis extent physical injury higher spectrum psychoses. Agreement between emergency room assessments semistructured interview behavior. Conclusions: Rates across broad disorders; current or past depressive episode (as part disorder) greater but schizophrenia, average, made more medically dangerous attempts. Risk factors appear vary compared those general population.

参考文章(28)
Depression, delusions, and suicide. American Journal of Psychiatry. ,vol. 140, pp. 1159- 1162 ,(1983) , 10.1176/AJP.140.9.1159
Mental disorders and comorbidity in suicide American Journal of Psychiatry. ,vol. 150, pp. 935- 940 ,(1993) , 10.1176/AJP.150.6.935
Alec Roy, Depression, Attempted Suicide, and Suicide in Patients with Chronic Schizophrenia Psychiatric Clinics of North America. ,vol. 9, pp. 193- 206 ,(1986) , 10.1016/S0193-953X(18)30644-0
John A Spaulding, George Simpson, Emile Durkheim, Suicide: A Study in Sociology ,(1897)
Elizabeth D. Radomsky, Gretchen L. Haas, Matcheri S. Keshavan, John A. Sweeney, Suicidal behavior before the first hospitalization in psychotic disorders Schizophrenia Research. ,vol. 24, pp. 256- ,(1997) , 10.1016/S0920-9964(97)82738-7
Greg Wilkinson, Niall A. Bacon, A clinical and epidemiological survey of parasuicide and suicide in Edinburgh schizophrenics. Psychological Medicine. ,vol. 14, pp. 899- 912 ,(1984) , 10.1017/S0033291700019863
A. Roy, A. Mazonson, D. Pickar, Attempted suicide in chronic schizophrenia. British Journal of Psychiatry. ,vol. 144, pp. 303- 306 ,(1984) , 10.1192/BJP.144.3.303