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Suicidal tendencies in Schizophrenia patients

Published online by Cambridge University Press:  01 September 2022

A. Pascariu*
Affiliation:
“Pius Brinzeu” Emergency County Hospital, Psychiatry Clinic I, Timisoara, Romania
A. Bosun
Affiliation:
“Pius Brinzeu” Emergency County Hospital, Psychiatry Clinic I, Timisoara, Romania “Victor Babes” University of Medicine and Pharmacy, Genetics, Timisoara, Romania
R. Kalinovic
Affiliation:
“Pius Brinzeu” Emergency County Hospital, Psychiatry Clinic I, Timisoara, Romania “Victor Babes” University of Medicine and Pharmacy, Biochemistry, TIMISOARA, Romania
G. Vlad
Affiliation:
“Pius Brinzeu” Emergency County Hospital, Psychiatry Clinic I, Timisoara, Romania
V. Enatescu
Affiliation:
“Pius Brinzeu” Emergency County Hospital, Psychiatry Clinic I, Timisoara, Romania Victor Babes University of Medicine and Pharmacy Timisoara-Discipline of Psychiatry, Timisoara, Romania and Eduard Pamfil Psychiatry Clinic, Timisoara County Hospital, Psychiatry, Timisoara, Romania
*
*Corresponding author.

Abstract

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Introduction

Suicide is one of the most frequent causes of death in schizophrenia patients, but the low insight in this pathology makes it difficult to identify persons at risk. The clinical picture of schizophrenia includes a wide variety of signs and symptoms, which make it hard to properly assess suicidal ideation.

Objectives

Our study was aimed at comparing tendencies among the clinical presentation and sociodemographic factors of schizophrenic patients with and without suicide attempts in their medical history.

Methods

We analysed the clinical data of 60 patients admitted to the Psychiatry Clinic of Timisoara with the diagnosis of Schizophrenia during 2020-2021. The PANNS-R scale was used for every patient, and each item was compared to the clinical data gathered.

Results

A positive history of suicide attempts was corelated to blunted affect, stereotyped thinking, lack of spontanety and flow of conversation, somatic concern, tension, unsual tought content, lack of judgment and insight. Total negative symptoms were correlated with psychiatric family history.

Conclusions

Considering a history of suicide attempts is a risk factor for suicide, more studies are needed to evaluate patients with such a history in order to identify the constelation of risk factors with a high predictibility value for suicide. This could help implement prophylactic measures in clinical practice that would decrease suicidal behaviour in schizophrenia.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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