Command hallucinations and clinical characteristics of suicidality in patients with psychotic spectrum disorders

Wong, Zerlina; Öngür, Döst; Cohen, Bruce M.; Ravichandran, Caitlin; Noam, Gil G.; Murphy, Beth L.

doi:10.1016/j.comppsych.2012.12.022

Cited by 31 publications

(18 citation statements)

References 38 publications

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“…For example, voices that issue commands are linked to harm to self and others 41 and already have specific CBT interventions. 42 Negative content also offers another salient difference between AVH because this appears more frequent in voice hearers with clinical diagnoses.…”

Section: Subtyping By Phenomenologymentioning

confidence: 99%

Better Than Mermaids and Stray Dogs? Subtyping Auditory Verbal Hallucinations and Its Implications for Research and Practice

McCarthy-Jones

Thomas

Strauss

et al. 2014

Schizophrenia Bulletin

108

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The phenomenological diversity of auditory verbal hallucinations (AVH) is not currently accounted for by any model based around a single mechanism. This has led to the proposal that there may be distinct AVH subtypes, which each possess unique (as well as shared) underpinning mechanisms. This could have important implications both for research design and clinical interventions because different subtypes may be responsive to different types of treatment. This article explores how AVH subtypes may be identified at the levels of phenomenology, cognition, neurology, etiology, treatment response, diagnosis, and voice hearer’s own interpretations. Five subtypes are proposed; hypervigilance, autobiographical memory (subdivided into dissociative and nondissociative), inner speech (subdivided into obsessional, own thought, and novel), epileptic and deafferentation. We suggest other facets of AVH, including negative content and form (eg, commands), may be best treated as dimensional constructs that vary across subtypes. After considering the limitations and challenges of AVH subtyping, we highlight future research directions, including the need for a subtype assessment tool.

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Section: Subtyping By Phenomenologymentioning

confidence: 99%

Better Than Mermaids and Stray Dogs? Subtyping Auditory Verbal Hallucinations and Its Implications for Research and Practice

McCarthy-Jones

Thomas

Strauss

et al. 2014

Schizophrenia Bulletin

108

View full text Add to dashboard Cite

show abstract

“…Sin embargo, menos de un tercio de nuestros pacientes no tomaban ningún tratamiento antidepresivo previo al intento de suicidio, González-Rodríguez et al 8 no encontró una tasa más alta de depresión en los pacientes que habían intentado suicidarse. Esto podría sugerir que el intento de suicidio pudiera producirse como reacción al pensamiento desordenado de la psicosis, o consecuencia del contenido temático del delirio o creencia delirante que afecta al paciente, lo cual también ha sido señalado por diversos autores [32][33][34] .…”

Section: Discussionunclassified

Trastorno delirante y conducta suicida: estudio descriptivo de 26 casos

Mármol-Bernal¹,

Luque-Luque

Allam

et al. 2018

Rev. chil. neuro-psiquiatr.

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Introduction/Background: Suicidal behavior in delusional disorder (DD) patients has been poorly studied. Objective: Investigate the demographic, environmental, psychosocial and clinical characteristics of the suicidal behavior in a group of patients with DD. Method: Retrospective descriptive study of DD cases registered at Psychiatry and Mental Hygiene Clinic of Cordoba according to DSM-IV criteria was conducted. We obtained a sample of 261 DD patients who met the inclusion criteria, of them 26 cases presented evidence of suicidal behavior. Data and variables collected were divided into 4 groups: I. Socio-demographic and general data. II. DD risk factors (personal and family). III. DD clinical picture and diagnosis (presentation, symptoms, disability, use of health care resources, treatment, and evolution) and lethal methods used. Results: The mean age of the patients was 47 years old and 60% were males. Socio-demographic data show that 46.2% of patients with suicidal behavior lived in rural areas, only 15.4% were analphabet, 57.7% were unemployed, and 26.9% were receiving a pension because of illness or retirement. The persecutory subtype with 8 cases was the most frequent presentation, followed by grandiose (6 cases) and jealous (6 cases), mixed (3 cases), erotomanic (2 cases) and somatic (1 case) subtypes. Discussion and conclusion: It is necessary to conduct future prospective studies to investigate the protective and risks factors associated with the suicidal behavior in DD patients.

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“…21 Additionally, these individuals may be experiencing delusions in which they feel that they are impervious to physical harm or experiencing hallucinations that distract them from this risk. 30 Even though these are plausible explanations for the association between psychosis and suicide risk, there is little substantive evidence to support them in the literature.…”

Section: Illness-related Factorsmentioning

confidence: 99%

“…Command hallucinations are cases in which patients hear voices that tell them to perform certain acts, occurring in 18-50% of the SCZ population, including the command to kill themselves. 30 However, there is limited and conflicting evidence for command hallucinations being associated with suicide in SCZ. In one of the first controlled studies investigating an association between suicidal behavior and command hallucinations, Hellerstein et al 31 found no significant differences for suicide ideation in SCZ.…”

Section: Illness-related Factorsmentioning

confidence: 99%

“…On the contrary, however, additional studies have shown an association between having command hallucinations and a history of suicide. 30 Previously, studies have suggested that psychotic symptoms per se may not be the actual cause for increases in suicide risk in SCZ, but the distressed and low mood that follows. 32 This concept has been observed in previous reports in which more severe levels of psychosis were associated with suicide.…”

Section: Illness-related Factorsmentioning

confidence: 99%

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A biopsychosocial evaluation of the risk for suicide in schizophrenia

et al. 2017

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The risk of suicide is greatly increased in individuals with schizophrenia. Previous research has identified several potential risk factors for suicidal behavior in schizophrenia, although their ability to independently predict suicide is limited. The objective of this review was to systematically analyze and identify the interaction between the proposed risk factors in the literature that may predict suicidal behavior in schizophrenia. Articles that explored suicidal behavior and suicide risk in schizophrenia that were published between 1980 and August of 2015, indexed in PubMed, MEDLINE, and Scopus were systematically reviewed. Many studies proposed a range of biopsychosocial risk factors that may independently lead to suicide in schizophrenia. These risk factors appear to be mainly related to stress, a history of suicidal behavior, and psychotic symptoms. It is clear, however, that many of these factors do not act independently and in fact require the reciprocal interaction of several of them to pose a risk for suicide in schizophrenia. Independently, the power of many risk factors to predict suicide is limited. Future studies should continue to adopt a multidimensional approach by considering the interaction of several factors in assessing the risk for suicide in schizophrenia.

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Command hallucinations and clinical characteristics of suicidality in patients with psychotic spectrum disorders

Cited by 31 publications

References 38 publications

Better Than Mermaids and Stray Dogs? Subtyping Auditory Verbal Hallucinations and Its Implications for Research and Practice

Better Than Mermaids and Stray Dogs? Subtyping Auditory Verbal Hallucinations and Its Implications for Research and Practice

Trastorno delirante y conducta suicida: estudio descriptivo de 26 casos

A biopsychosocial evaluation of the risk for suicide in schizophrenia

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