A Study of Suicide in Schizophrenic In-patients

Modestin, Jiří; Zarro, Ivo; Waldvogel, Doris

doi:10.1192/bjp.160.3.398

Cited by 80 publications

(71 citation statements)

References 10 publications

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“…Perhaps the most concrete, most readily recognized risk factor for suicide is the presence of previous attempts (5,16,(24)(25)(26)(27)(28)(29)(30)(31)(32)(33). Greater lethality of attempts, and fewer provisions for being rescued are also indicative of strong fatalistic intentions (5).…”

Section: Consistently Supported Risk Factors Previous Attemptsmentioning

confidence: 98%

Suicide Among Patients with Schizophrenia: A Consideration of Risk and Protective Factors

Montross¹,

Zisook²,

Kasckow³

2005

Annals of Clinical Psychiatry

107

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Section: Consistently Supported Risk Factors Previous Attemptsmentioning

confidence: 98%

Suicide Among Patients with Schizophrenia: A Consideration of Risk and Protective Factors

Montross¹,

Zisook²,

Kasckow³

2005

Annals of Clinical Psychiatry

107

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“…Seven studies (17)(18)(19)(20)(21)(22)(23) have so far investigated completed suicides among groups of 15 or more suicide victims with DSM-III or DSM-III-R schizophrenia. In these studies young adult age, male sex, and mean illness duration under 10 years have characterized suicide victims with schizophrenia.…”

mentioning

confidence: 99%

Suicide and schizophrenia: a nationwide psychological autopsy study on age- and sex-specific clinical characteristics of 92 suicide victims with schizophrenia

1997

AJP

252

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T he risk of suicide in schizophrenia is high; it is estimated that 10%-13% of all persons suffering from schizophrenia commit suicide (1). Suicide rates vary among mortality studies, between 147 and 750 per 100,000 persons with schizophrenia per year (2-6). The rate is consistently higher among men than women, but some studies have shown a higher standardized mortality ratio for women (7-9). The prevalence of schizophrenia among unselected persons who committed suicide has varied from 2% to 12% (10-16).Many studies of clinical characteristics of suicide victims with schizophrenia have been compromised by the relatively small numbers of subjects and thus inadequate representation of women for comparisons of the sexes, by the heterogenous diagnostic criteria used, by the frequent selection of the suicide population from hospitals, and by data based only on patient records.Seven studies (17-23) have so far investigated completed suicides among groups of 15 or more suicide victims with DSM-III or DSM-III-R schizophrenia. In these studies young adult age, male sex, and mean illness duration under 10 years have characterized suicide victims with schizophrenia. Some studies, however, have shown an increased rate of suicide mortality over the span of the illness (24). Comorbid depressive symptoms, alcoholism, previous suicide attempts, and communication of suicidal intent have been associated with suicide risk (15,17,(19)(20)(21). These, as well as some physical disorders, have also been found to be associated with suicide in the general population (25). Mental disorders, suicide method, and history of previous suicide attempts have been found to vary with age and sex

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“…A study by Farberow et al (1961) supports this hypothesis, finding that schizophrenia suicides tended to have more education than control patients. However, others (Modestin et al, 1992) have found that completed suicides with a prior diagnosis of schizophrenia were m ore likely to have an illness associated with early onse t and poor psycho-social adjustment.…”

Section: Pre-m Orbid Personalitymentioning

confidence: 97%

“…Previous attempts have been widely reported as indicating suicidal risk in schizophrenia (Schaffer et al, 1974;Modestin et al, 1992;Hu et al, 1991;Cheng et al, 1990) as is the case for suicide generally. It has been suggested that this is the clearest indicator of future risk.…”

Section: Previous Attem Ptsmentioning

confidence: 98%

Suicide in schizophrenia. A review of the literature

Reid

1998

Journal of Mental Health

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This article reviews research from the 1960s to the present pertaining to suicide in people suffering with schizophrenia. An attempt has been made to examine suggested risk factors and generate recommendations for management, with particular attention to recent Department of Health guidelines regarding the care of the severely mentally ill. The literature was reviewed using Medline and PsychInfo, supplemented with a manual literature search. The studies reviewed were of variable quality. Many were limited by small numbers, lack of control groups and diagnostic heterogeneity. In combination with the low base-rate of suicide, and the relative homogeneity within groups of patients with schizophrenia, prediction remains problematic. Current initiatives suggest increased supervision of the at-risk population with little emphasis on attempting to reduce suicidal intent. There remains a need for continuing research into this difficult area of management. Specific areas for consideration include the management of hopelessness and depression in this group of patients, and the effect of the environment. The effect of the living environment, as well as the ongoing reductions in in-patient hospital beds and the current emphasis on increased turnover merit reappraisal.

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A Study of Suicide in Schizophrenic In-patients

Cited by 80 publications

References 10 publications

Suicide Among Patients with Schizophrenia: A Consideration of Risk and Protective Factors

Suicide Among Patients with Schizophrenia: A Consideration of Risk and Protective Factors

Suicide and schizophrenia: a nationwide psychological autopsy study on age- and sex-specific clinical characteristics of 92 suicide victims with schizophrenia

Suicide in schizophrenia. A review of the literature

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