<p>Prevalence and Factors Associated with Suicidal Ideation in Institutionalized Patients with Schizophrenia</p>

Abstract

Purpose The shorter life expectancy and increased risk of suicide in patients with schizophrenia have been well documented. However, study outcomes on suicidality in this special population have been few to date. This study investigated the prevalence and factors associated with suicidal ideation in a population of institutionalized patients with schizophrenia. Methods Two hundred fifty-six patients with schizophrenia between the age of 18 and 65 years were randomly recruited. This cross-sectional study utilised the Calgary Depression Scale for Schizophrenia (CDSS), the Positive and Negative Syndrome Scale (PANSS) and the Psychotic Symptom Rating Scale (PSYRATS-AH). Univariate analysis was performed using an independent t -test or chi-square test, followed by binary logistic regression to determine the factors associated with increased suicidal risks. Results The socio-demographic factors associated with suicidal ideation included level of education ( p =0.039); secondary-level education (OR=5.76, 95% CI:1.49, 22.34, p =0.011) and tertiary-level education (OR=9.30, 95% CI: 1.80, 48.12, p =0.008) posed a greater risk. A history of attempted suicide (OR=2.09, 95% CI: 1.01, 4.36, p =0.049) and the presence of co-morbid physical illnesses (OR=2.07, 95% CI: 1.02, 4.21, p =0.044) were also found to be associated with a suicidal ideation. Other significant factors associated with suicidal thoughts were concurrent depression (OR=9.68, 95% CI: 3.74, 25.05, p <0.001) and a higher PSYRATS score in emotional characteristics of auditory hallucinations (OR=1.13, 95% CI: 1.06, 1.21, p <0.001). Conclusion Suicide in schizophrenia appears to be more closely associated with certain socio-demographic factors and affective symptoms. Appropriate screening and treatment addressing these challenges must be emphasized if suicidal thoughts and actions are to be reduced.

Suicidal ideation in Chinese adults with schizophrenia: associations with neurocognitive function and empathy

“…Additionally, high suicide attempts was found to be associated with increased suicidal ideation in people with SZ, similar to a previous study [ 68 ]. Suicide is a continuous process, and more suicide attempts may lead to more suicides [ 69 ].…”

Relationship between Emotional Intelligence and Suicidal Ideation among Schizophrenic patients

“…This may be because certain people are more prone to suicidal ideation and attempts owing to their loneliness, social Mena S., et al isolation, and loss of a partner and social network. This finding conflicts with that of (Chong, et al, 2020), who showed that patients who were divorced or separated had the highest prevalence of suicidal ideation.…”

Visuospatial ability and attention as risk factors for suicidal ideation in middle-aged and elderly schizophrenia patients: a cross-sectional study

“…Suicidality is a complex social phenomenon, which is closely related to sociological, psychological, and biological factors. The risk factors included demographic variables(such as younger age, male [ 10 ], and higher premorbid IQ [ 11 ]), clinical characteristics (such as chronic disease courses, younger age at onset, increased positive symptoms, decreased negative symptoms [ 12 ], insomnia symptoms [ 13 ], a greater level of insight [ 14 ] ,and fewer cognitive deficits [ 15 ]), sociological factors(such as poor social function, poor social support [ 16 , 17 ]), and psychological factors (such as emotional problems, hopelessness (16), and psychological pain [ 18 ]).…”