Ten-year prospective follow-up study of the mortality by suicide in schizophrenic patients

Limosin, Frédéric; Loze, Jean‐Yves; Philippe, A.; Casadebaig, F.; Rouillon, Frédéric

doi:10.1016/j.schres.2007.04.031

Cited by 90 publications

(62 citation statements)

References 25 publications

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“…Çalışmamızda özkıyım girişi-minde bulunan hastalar arasında yüksekten atlama (%54.8), ilaçla kendini zehirleme (%35.4) ve ası girişimi (%2.9), en çok görülen üç yöntem olarak bulunmuş, bazı hastaların değişik zamanlarda farklı özkıyım yön-temleri denediği saptanmıştır. Fransa'da, şizofreni hastaları ile gerçekleştirilen 10 yıllık izlem çalışması sonunda ise ilaçla kendini zehirleme, yüksekten atlama ve kendini asmanın sırasıyla en çok başvurulan üç özkıyım yöntemi olduğu belirtilmiştir (42). Başka bir çalışmada ise, birinci sırada ası ve ardından ilaç/zehir ve ateşli silah en sık kullanılan yöntemler olarak bulunmuştur (43).…”

Section: Discussionunclassified

The correlation of suicide attempt and suicidal ideation with insight, depression and severity of illness in schizophrenic patients

Umut¹,

Altun²,

Danışmant³

et al. 2013

Dusunen Adam

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ÖZETŞizofreni hastalarında özkıyım girişimi ve özkıyım düşüncesinin, hastalık şiddeti, depresyon ve içgörü ile ilişkisi Amaç: Bu çalışmada şizofreni hastalarında özkıyım girişimi ve özkıyım düşüncesinin hastalık şiddeti, depresyon ve içgörü ile ilişkisi araştırılarak, şizofreni hastalarında özkıyım riskini yordayabilecek ölçütlerin gelişmesine katkı sağlanması amaçlanmıştır. Yöntem: Bakırköy Prof. Dr. Mazhar Osman Ruh Sağlığı ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesi psikiyatri servislerinde DSM-IV-TR ölçütlerine göre şizofreni tanısı ile yatarak tedavi gören, 20-65 yaş arasındaki 104 hasta rastgele seçilmiş, hastalar hastaneye yattıktan sonraki 72 saat içinde değerlendirilmiştir. Olgular, İçgörünün Üç Bileşenini Değerlendirme Ölçeği (İÜBDÖ), Pozitif ve Negatif Sendrom Ölçeği (PANSS) ve Calgary Şizofrenide Depresyon Ölçeği (CŞDÖ) kullanılarak değerlendirilmiştir. Bulgular: Özkıyım girişimi öyküsü olan hastalarda depresyon puanları, özkıyım girişimi öyküsü olmayan hastalara göre daha yüksek bulunmuştur. Özkıyım düşüncesi olanların içgörü ve depresyon puanları, özkıyım düşüncesi olmayanlara göre daha yüksek bulunmuştur. Lojistik regresyon analizinde CŞDÖ özkıyım girişimi ve özkıyım düşüncesini, PANSS negatif toplam puanı özkıyım düşüncesini, kendine zarar veren davranış ise özkıyım girişimi öyküsünü belirleyen değişken olmuştur. Sonuç: Özkıyım girişimi ve özkıyım düşüncesini belirleyen ortak etken depresyon olduğundan, şizofreni hastalarında depresif belirtiler varlığında özkıyım düşüncesinin daha dikkatli ve ayrıntılı sorgulanması gerekmektedir. Kolaylıkla uygulanabilecek CŞDÖ'nün, şizofreni hastalarındaki depresyonu kolaylıkla saptayabileceğini, uygun tedavi yöntemleri ile depresyonun tedavisinin özkıyım riskini azaltabileceğini düşünmekteyiz. Anahtar kelimeler: Depresyon, içgörü, özkıyım, PANSS, şizofreni ABSTRACTThe correlation of suicide attempt and suicidal ideation with insight, depression and severity of illness in schizophrenic patients Objective: At this study, it is aimed to determine criteria to predict the suicidal risks of schizophrenic patients and to explore the correlation of suicide attempt and suicidal ideation with insight, depression and severity of illness as well. Method: Randomly selected 104 inpatients between 20 and 65 years of age, treated with a diagnosis of schizophrenia according to DSM-IV-TR criteria at Bakirkoy Training and Research Hospital for Psychiatry, Neurology and Neurosurgery were included, and patients were examined at the period of first 72 hours of admission. The patients were evaluated with Schedule for Assessing the Three Components of Insight (SAI), Positive and Negative Syndrome Scale (PANSS), and Calgary Depression Scale for Schizophrenia (CDSS). Results: Depression scores were higher in the patients who had suicide attempt compared to those without suicide attempt. Depression and insight scores of the patients who had suicidal ideation were found to be higher compared to those without suicidal ideation. In the logistic regression analysis, CDSS was found t...

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Section: Discussionunclassified

The correlation of suicide attempt and suicidal ideation with insight, depression and severity of illness in schizophrenic patients

Umut¹,

Altun²,

Danışmant³

et al. 2013

Dusunen Adam

View full text Add to dashboard Cite

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Section: Gender and Suicide Risk In Schizophreniamentioning

confidence: 98%

“…That might provide the explanation as to why some studies found no gender difference in suicide among schizophrenic patients [35,91]. However, the suicide standardized mortality rate of schizophrenic patients is equal or higher for women compared with men in some studies [21,24,25,60].Women who die by suicide appear to be older than men who die due to the same cause. This may be related to the later age at the onset of illness in females [93].…”

mentioning

confidence: 98%

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Suicide in schizophrenia

Carlborg

Winnerbäck

Jönsson

et al. 2010

Expert Review of Neurotherapeutics

116

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SchizophreniaSchizophrenia is a devastating psychiatric disorder affecting approximately 1% of the population worldwide during a lifetime. The onset of the illness occurs relatively early in life, usually in the late teens or early adulthood, and most patients have long-lasting adverse effects. Schizophrenia is a clinical syndrome diagnosed on the basis of symptom profiles, and is characterized by a constellation of symptoms of psychosis, such as abnormalities in the perception or expression of reality, as well as negative symptoms, such as affective flattening and avolition. Cognitive deficits are also usually present, and the symptoms must have persisted continuously for a least 6 months: however, schizophrenia cannot be diagnosed if symptoms of mood disorder are present or the symptoms are the direct result of a medical condition or substance abuse (Box 1) [201].The specific causes of schizophrenia are not known and combinations of several factors are likely to be involved. Genetic factors play a major role in the development of the disease [1], and environmental factors are also of importance. These latter factors include a history of obstetric complications, such as asphyxia [2] and prematurity [3]. Advanced paternal age is also considered to be a risk factor [4], and birth during the spring and late winter also increases the risk [5]. Prenatal viral infections [6], serious viral infections of the CNS during childhood [7], migrant status and urban rearing [8], and a lifetime history of cannabis use [9] are other well-known risk factors.Contrary to previous interpretations, the incidence and prevalence of schizophrenia show marked variation between sites. For example, migrants have an increased incidence and prevalence of schizophrenia, and exposures related to urbanicity, economic status and latitude are also associated with various frequency measures [10]. Men have a higher risk than women [11], and a recent review concluded that men have a 40% higher incidence of schizophrenia than women [12]. SuicideSuicide is defined as a self-inflicted death with evidence that the person intended to die (Box 2) [13]. Suicide is among the leading causes of premature death in the world and it is estimated that approximately 1 million people die by suicide every year [202]. Suicide rates vary according to region, gender, age, time and ethnic origin, and also according to death registration practices. The annual suicide rate in the world is 14.5 out of 10,0000 (in 2000), which is equal to one suicide every 40 s. Suicide is approximately three-to four-times more common in men than in women [202]. Suicide rates vary between different regions, and underestimation of suicide rates is common due to under-reporting, lack of epidemiological data and misclassification [14]. It has been estimated from psychological autopsies that more than 90% of those dying by suicide have a diagnosable psychiatric disorder at the time of death, and approximately 60% of the Schizophrenia is a disorder with an estimated suicide risk of 4-5%. Many f...

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“…Le suicide constitue la première cause de mort prématurée chez les patients souffrant de schizophrénie [8,15,22]. Le taux de suicide vie entière habituellement retenu se situe autour de 10 % [17].…”

Section: Surmortalité Et Suicide Dans La Schizophrénieunclassified

Insight et schizophrénie : quels rôles dans le risque suicidaire ?

Misdrahi¹,

Denard²,

Courtet³

2011

Annales Médico-psychologiques, revue psychiatrique

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RésuméLe suicide constitue la première cause de mort prématurée chez les patients souffrant de schizophrénie. Le risque suicidaire serait majoré au cours des phases précoces de la maladie, en particulier la première année qui suit le diagnostic. La coexistence d'un trouble de l'humeur est un facteur de risque de suicide identifié dans cette population. Les données de la AbstractSuicide is the leading cause of premature death in patients with schizophrenia. Suicide

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Ten-year prospective follow-up study of the mortality by suicide in schizophrenic patients

Cited by 90 publications

References 25 publications

The correlation of suicide attempt and suicidal ideation with insight, depression and severity of illness in schizophrenic patients

The correlation of suicide attempt and suicidal ideation with insight, depression and severity of illness in schizophrenic patients

Suicide in schizophrenia

Insight et schizophrénie : quels rôles dans le risque suicidaire ?

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