The role of demoralization in the relationship between insight and suicidality in schizophrenia

Eneman, Marc; Vanhee, Lieve; Tang, Eileen; Sabbe, Bernard; Corveleyn, Jozef; Luyten, Patrick

doi:10.1016/j.npbr.2020.08.002

Cited by 1 publication

(2 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While previous studies have demonstrated a relationship between demoralization and suicidal risk, these studies examined only patients with cancer or organic illnesses [33][34][35][36]. In addition, only a few studies have investigated this relationship in patients affected by schizophrenia, suggesting that, for patients with high illness insight, both repeated psychotic crises and functional deterioration can increase suicidal risk [11][12][13][14][15][16][17][18][19][20][21][22][23]. In a previous article, Berardelli et al [23] proposed that the presence of demoralization symptoms moderates the association between depression and suicidal risk.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, a cross-sectional study on 81 patients with schizophrenia provided empirical support for the mediating role of demoralization in the relationship between insight and suicidal risk. The results demonstrated that awareness of illness, a specific dimension of insight measured by the Insight Scale (IS) for psychosis, was positively associated with demoralization and positively associated with suicidal risk in patients with schizophrenia [22]. The relationship between demoralization, insight, and suicidal risk still needs to be investigated further in patients with other psychiatric diagnoses [23,24].…”

Section: Introductionmentioning

confidence: 97%

See 1 more Smart Citation

Are Demoralization and Insight Involved in Suicide Risk? An Observational Study on Psychiatric Inpatients

Berardelli¹,

Innamorati²,

Sarubbi³

et al. 2021

Psychopathology

View full text Add to dashboard Cite

Introduction: Several features contribute to determining suicide risk. This study was designed with the aim of evaluating whether insight into illness and demoralization are involved in suicide risk (active suicidal ideation or behavior). Methods: For this purpose, in a sample of 100 adult psychiatric inpatients, we used the Columbia Suicide Severity Rating Scale to assess suicide risk, the Demoralization Scale for demoralization symptoms, and the Insight Scale to assess illness insight. We also investigated several demographic and clinical features, including gender, age, duration of untreated illness, previous suicide attempts, and nonsuicidal self-injurious behavior. Results: The results demonstrated that patients with higher scores on the insight-high dimension had 1.35 greater odds of having a higher suicide risk, and those with lifetime suicide attempts had 7.45 greater odds of having a higher suicide risk. Among the various clinical factors, the study indicated that only nonsuicidal self-harm behaviors in the last 3 months was a risk factor for suicide risk. Conclusions: The results indicated that greater illness insight is involved in suicide risk regardless of demoralization.

show abstract