Suicidal Ideation in Inpatients with Acute Schizophrenia

Kontaxakis, V.P.; Havaki-Kontaxaki, B.J.; Margariti, Maria; Stamouli, S.S.; Kollias, C.T.; Christodoulou, George N.

doi:10.1177/070674370404900709

Cited by 55 publications

(42 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Suicidal ideation, however, was not associated with violence in either this study or in a previous meta-analysis of risk factors for violence in psychosis (Witt et al, 2013). One reason may be that suicidal ideation is extremely common in this population (Kontaxakis et al, 2004). Alternatively it may be that while violence is associated with more behavioral forms of suicidality, such as attempted suicide, it is not related to suicidal ideation, as has previously been shown in prisoner populations (Sarchiapone et al, 2009; Zhang et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

The relationship between suicide and violence in schizophrenia: Analysis of the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) dataset

Witt

Hawton

Fazel

2014

Schizophrenia Research

View full text Add to dashboard Cite

BackgroundSuicide and violence often co-occur in the general population as well as in mentally ill individuals. Few studies, however, have assessed whether these suicidal behaviors are predictive of violence risk in mental illness.AimsThe aim of this study is to investigate whether suicidal behaviors, including suicidal ideation, threats, and attempts, are significantly associated with increased violence risk in individuals with schizophrenia.MethodData for these analyses were obtained from the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) trial, a randomized controlled trial of antipsychotic medication in 1460 adults with schizophrenia. Univariate Cox regression analyses were used to calculate hazard ratios (HRs) for suicidal ideation, threats, and attempts. Multivariate analyses were conducted to adjust for common confounding factors, including: age, alcohol or drug misuse, major depression, antisocial personality disorder, depression, hostility, positive symptom, and poor impulse control scores. Tests of discrimination, calibration, and reclassification assessed the incremental predictive validity of suicidal behaviors for the prediction of violence risk.ResultsSuicidal threats and attempts were significantly associated with violence in both males and females with schizophrenia with little change following adjustment for common confounders. Only suicidal threats, however, were associated with a significant increase in incremental validity beyond age, diagnosis with a comorbid substance use disorder, and recent violent behavior.ConclusionsSuicidal threats are independently associated with violence risk in both males and females with schizophrenia, and may improve violence risk prediction.

show abstract

Section: Discussionmentioning

confidence: 99%

The relationship between suicide and violence in schizophrenia: Analysis of the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) dataset

Witt

Hawton

Fazel

2014

Schizophrenia Research

View full text Add to dashboard Cite

show abstract

“…또한, 심리사회적 특성으로는 우울, 절망, 사회적인 고립 (Chun, Park, & Lee, 2007) 및 가 족 내 갈등 (Cha & Doh, 2003) 등이 있었으며, 자살 관련 특성 으로는 자살시도의 과거력 (Chun et al, 2007), 가까운 주위사 람들의 자살경험 (Lee, Kim, Park, & Sim, 2010) 등이었다. 자 살사고와 자살시도를 낮추는 보호요인으로는 영적 안녕감 (Rasic et al, 2009), 자존감 (Kontaxakis et al, 2004) (Table 3). …”

Section: 일반적으로 자살의 원인은 자살시도를 촉진시키는 위험unclassified

Factors Influencing Suicidal Ideation in People with Mental Disorder

Seo

Kim

2013

J Korean Acad Community Health Nurs

View full text Add to dashboard Cite

Purpose: This study was conducted to investigate factors influencing suicidal ideation in people with mental disorder. Methods: The subjects were 176 people with mental disorder from community mental health centers, social rehabilitation facilities, and university hospital psychiatric outpatient departments. The instruments used included a suicidal ideation questionnaire, a self-esteem scale, a spiritual well-being scale, a family support scale, and a professional support scale. Data were analyzed with t-test, one-way ANOVA, Pearson's correlation coefficient, and hierarchical regression analysis. Results: Suicidal ideation was influenced by age, history of suicidal attempts, and existential spiritual well-being. This study shows that suicidal ideation has negative correlation with existential spiritual well-being, self-esteem, family support, and age. Existential spiritual well-being, history of suicidal attempts, and age accounted for 30% regarding suicidal ideation in people with mental disorder. Conclusion: The lower existential spiritual well-being and age, the higher suicidal ideation. And also suicidal ideation was higher in people who had attempted suicide than in those who had not. Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes existential spiritual well-being in order to decrease suicidal ideation in young people with mental disorder.

show abstract

“…Numerous studies have identified associations between mental illnesses and low self-esteem. Most notable in this context is, of course, depression that, among other factors, is diagnosed on the basis of low feelings of self-worth, although several other mental health disorders have also been associated with the latter (see recent examples in e.g., Awad & Voruganti, 2004;Combs & Penn, 2004;Kontaxakis et al, 2004). As such, one might expect that borderline pathological celebrity worship, with its overtones of mental disorder, might be associated negatively with self-esteem.…”

Section: Self-esteemmentioning

confidence: 99%