Characteristics of the schizophrenia suicide attempts in comparison with the suicide attempts with other diagnosed psychiatric disorders: An Egyptian study

Abstract

Background: There has been much literature on schizophrenia, but little is known about the characteristic features of suicide attempts with schizophrenia in comparison with the suicide attempts with other diagnosed psychiatric disorders. Aims: The objective of this study was to clarify the specific characteristics and risk factors among suicide attempters with schizophrenia that differentiate them from other psychiatric disorders. Methods: Thirty-three suicide attempters diagnosed with schizophrenia and 87 suicide attempters with other psychiatric disorders were included. Suicide attempts seriousness were appraised by the Beck’s Suicide Intent Scale (BSIS). Standardized scales were applied: Suicide Probability Scale (SPS) and Barratt Impulsiveness Scale, Version 11 (BIS-11). The Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) and The Structured Clinical Interview for DSM-IV Axis II Disorders (SCID-II) based on the Diagnostic and Statistical Manual of Mental Disorders-IV ( DSM-IV) was applied to assess the psychiatric status of individuals. Demographic and clinical characteristics, method of suicide and suicide probability scores and impulsivity were compared among both groups (schizophrenia group and other psychiatric disorders group). Results: In total, 27.5% of suicide attempts suffered from schizophrenia. The current study found that having more past history of medical diseases, longer duration of illness, using more violent suicidal methods, and having less significant suicidal ideations were the significant factors that differentiated schizophrenia suicide attempts from those diagnosed with other psychiatric disorders. The schizophrenia group did not show more impulsivity or hostility than other psychiatric disorders group. Conclusion: These results indicated that each group shows its unique characteristics. They give us new perspectives to prevent suicides in schizophrenia according to their different characteristics.

Психические Расстройства И Суицидальное Поведение: Результаты Анализа Медицинской Документации

“…Приводятся данные о том, что более четверти всех госпитализаций в психиатрический стационар с суицидальными попытками приходится на пациентов с шизофренией [23]. От 40% до 50% всех пациентов с шизофренией отмечают суицидальные мысли [24], а риск суицида, ассоциированный с данной рубрикой, в 12 раз выше, чем в общей популяции [25].…”

Insights in Neuropsychiatry: Suicide and Self-Mutilation in the Mena Region- a Bibliometric Quantitative and Co-occurrence Medline-Based Analysis

“…A particular subject of interest was the association between suicide and mental health. Studies found that 77.5% of suicide attempters had mental health disorders, and 27.5% of suicide attempters had schizophrenia in particular, and 36.6% were depressed [ 28 ]. To sum it up, we can safely admit that research in the Arab is improving, quantitatively and especially qualitatively; over the years, articles targeting suicide are becoming more forthright, asking the right questions and addressing the issue directly.…”

Suicidal ideation in schizophrenia

“…Sixty percent of individuals with schizophrenia who die by suicide do so within the initial 4–10 years of being diagnosed. [ 5 6 ] A longer duration of untreated psychosis (DUP), multiple hospitalizations, immediate postdischarge period, a family history of psychiatric illness and suicide, a previous attempt, presence of positive symptoms, and depressive symptoms all are significant contributors to suicidal behavior in schizophrenia. [ 3 4 5 6 7 8 9 10 11 ]…”