Comparison of suicide attempts in schizophrenia and major depressive disorder: An exploratory study

Banwari, Girish; Vankar, Ganpat; Parikh, Minakshi

doi:10.1111/j.1758-5872.2012.00188.x

Cited by 20 publications

(9 citation statements)

References 23 publications

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“…In the Indian context, 34% of patients with schizophrenia reported at least one suicide attempt in a hospital based cross sectional study from Ahmadabad with 50 outpatients each of schizophrenia and major depressive disorder (Banwari et al, 2013). A study from Mumbai reported that out of 200, 38% (n =76) reported at least one severe suicide attempt, and 9.5% (n = 19) had attempted suicide more than three times (Shrivastava et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Self-harm and suicide attempts in Schizophrenia

Jakhar

Beniwal

Bhatia

et al. 2017

Asian Journal of Psychiatry

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Background The risk of suicide among persons with schizophrenia (SZ) is higher than in general population, with multiple contributory factors. We assessed the prevalence of risk of deliberate self-harm and suicide attempts, along with associated socio-demographic and clinical factors in a group of SZ outpatients (n=61) as part of a larger study on overall schizophrenia-associated risks. Aims To investigate factors associated with risk of deliberate self-harm and suicide among persons with schizophrenia. Method Out of 270 SZ participants evaluated for various risks using Ram Manohar Lohia Risk Assessment Interview (RML-RAI), 61 reported risk of self-harm including suicide attempt/s. The factors associated with this risk were further evaluated on clinical details and Diagnostic Interview for Genetic Studies. Results Risk of reported self-harm was 22.59%. Among them, 10% had attempted suicide at least once. Current age and past month Global Assessment of Functioning score from DIGS (GAF) were significantly correlated with suicide attempt. Attempters had significantly lower current GAF score, indicating poorer functioning. Among 27 attempters, 9 attempted at the onset of illness while 6 others attempted suicide within one year. Most common method of attempt was ingestion of insecticides or overdose of medication, followed by hanging or jumping from height. Conclusion In our hospital-based sample of suicide attempters, 10% had attempted suicide, among them over 55% within first year of illness. Attempters were significantly older than non-attempters and suffered from significantly more severe illness than non-attempters. Positive symptoms were significantly associated with attempt, irrespective of time at which suicide was attempted.

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Section: Discussionmentioning

confidence: 99%

Self-harm and suicide attempts in Schizophrenia

Jakhar

Beniwal

Bhatia

et al. 2017

Asian Journal of Psychiatry

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“…In the present study, the presence of an adjustment disorder was more frequent in impulsive SAs than in planned SAs. Because impulsive SAs often experience stressful events prior to a suicide attempt 10 , 34) and because adjustment disorder can be defined as the experience of emotional and behavioral problems in response to identifiable stressors, 35) the present findings are plausible.…”

Section: Discussionmentioning

confidence: 67%

Characteristic Risk Factors Associated with Planned versus Impulsive Suicide Attempters

Kim

Lee

Kim

et al. 2015

Clin Psychopharmacol Neurosci

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ObjectiveThe present study aimed to investigate predictors for planned suicide attempters.MethodsThis study included 1,003 patients who attempted suicide and visited emergency department. They were divided into two groups, planned suicide attempters (SAs; n=133 [13.3%]) and impulsive SAs (n=870, [86.7%]), and the demographic variables, clinical characteristics, factors related to suicide, and psychiatric resources of the groups were compared.ResultsMajor depressive disorder and substance use disorders were more common among planned SAs than among impulsive SAs. Additionally, the planned SAs were older, more likely to be divorced, separated or widowed, and more likely to have comorbid medical illnesses, severe depression, higher suicidality, and self-blaming tendencies than the impulsive SAs. Financial problems and physical illnesses were more common in planned SAs but interpersonal conflicts were more frequent in impulsive SAs. Planned SAs had fewer previous suicide attempts but these were more serious suicide attempts. The presence of the hope to die, a written will, and suicidal ideation of a repetitive, intense, and continuous nature were predictive of planned SAs.ConclusionThe present findings demonstrated that planned SAs had more severe psychopathology and medical illnesses than impulsive SAs. Therefore, screening for depression, substance use disorders, and suicidal plans among old and medically ill patients may be important for preventing suicide attempts.

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“…Suicide attempters with high intent – according to a study including 203 patients – are less likely to be married, more likely to be male, have a diagnosis of major depressive disorder (MDD) and experience a higher number of recent life events in the month preceding the attempt (Kumar et al, 2006). According to Banwari et al (2013) suicide attempts in MDD and schizophrenia patients share common features but schizophrenia patients show a significantly higher intent to die, compared with MDD patients (Banwari et al, 2013). According to a study by Stefansson et al (2015), intent to die and violence both contribute to the risk of suicide but are not correlated with each other and therefore confer two different components of the suicide risk.…”

Section: Question Of Intent and Violent Suicidementioning

confidence: 99%

The concept of violent suicide, its underlying trait and neurobiology: A critical perspective

Ludwig

Dwivedi

2018

European Neuropsychopharmacology

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Suicide is one of the leading causes of death and represents a significant public health problem world-wide. Individuals who attempt or die by suicide represent a highly heterogeneous population. Recently, efforts have been made to identify sub-populations and variables to categorize them. A popular dichotomy in suicide research of the past years is violent versus non-violent suicide - based on the method. This dichotomy is important given that there is an association between method of attempted suicide and risk of subsequent death by suicide. The differentiation concerning suicide methods is also critical regarding preventive efforts. In this review, we have tried to approach the concept of violent suicide from different perspectives, including a discussion about its definition and overlapping categories. In addition, we have critically discussed aggression as underlying trait, the question of intent to die, and sociodemographic, environmental, neuropsychological, and neurobiological factors potentially associated with violent suicide.

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Comparison of suicide attempts in schizophrenia and major depressive disorder: An exploratory study

Abstract: Suicide attempts in schizophrenia and MDD have similar features, with quite a few notable differences, which have been discussed at length in the present paper.

Cited by 20 publications

References 23 publications

Self-harm and suicide attempts in Schizophrenia

Self-harm and suicide attempts in Schizophrenia

Characteristic Risk Factors Associated with Planned versus Impulsive Suicide Attempters

The concept of violent suicide, its underlying trait and neurobiology: A critical perspective

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