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Suicide as a complication of schizophrenia

Published online by Cambridge University Press:  13 June 2014

Michael J Kelleher
Affiliation:
National Suicide Research Foundation, 1 Perrott Avenue, College Rd, Cork, Ireland.
Fiona Hynes
Affiliation:
Nottingham Rehab and Community Care Services, Nottingham, England.
Michael JA Kelleher
Affiliation:
Maudsley Hospital, Denmark Hill, London SE5 8AZ, England.

Abstract

The social, personal, occupational and domestic deficits of schizophrenia are well known. Perhaps it has not been emphasised sufficiently that people suffering from schizophrenia also have an increased mortality. It is important to recognise that suicide is the commonest form of death among both male and female schizophrenics and occurs in 10%-15% of cases.

Type
Review
Copyright
Copyright © Cambridge University Press 1998

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References

1.Tabbane, K, Joober, R, Spadone, C, Poirier, MF, Olie, JP. Mortalite de Causes de Deces dans la Schizophrenie. Revue de la Litterature. Encephale 1993; 19(1): 23–8.Google Scholar
2.Mortensen, PB, Juel, K. Mortality and causes of death in first admitted schizophrenic patients. Br J Psychiatry 1993; 163: 183–9.CrossRefGoogle ScholarPubMed
3.Krausz, M, Muller-Thomsen, T, Haasen, C. Suicide among schizophrenic adolescents in the long term course of illness. Psychopathology 1995; 18: 95103.CrossRefGoogle Scholar
4.Caldwell, CB, Gottesman, II. Schizophrenia – a high risk factor for schizophrenia: clues to risk reduction. Suicide Life Threat Behav 1993; 22: 479–93.CrossRefGoogle Scholar
5.Roy, A, Draper, R. Suicide among psychiatric hospital inpatients. Psychol Med 1995:25: 199202.CrossRefGoogle Scholar
6.Emmerson, B, Cantor, C. Train suicides in Brisbane, Australia, 1980–1986. CRISIS 1993; 14: 90–4.Google ScholarPubMed
7.Barraclough, B, Bunch, J, Nelson, B, Sainsbury, P. A hundred cases of suicide: clinical aspects. Br J Psychiatry 1974; 125: 355–73.CrossRefGoogle ScholarPubMed
8.Stefenson, A, Cullberg, . Committed suicide in a total schizophrenic cohort: in search of the suicidal process. Nordic J Psychiatry 1995; 49(6): 429–37.CrossRefGoogle Scholar
9.Jarden, PC. Observations on suicide in chronic schizophrenics. Compr Psychiatry 1974; 15(4): 325–33.Google Scholar
10.Shuwall, M, Siris, SG. Suicidal ideation in post psychotic depression. Compr Psychiatry 1994; 35: 132–4.CrossRefGoogle Scholar
11.Jones, JS, Stein, BJ, Stanley, B, Guido, JR, Winchel, R, Stanley, M. Negative and depressive symptoms in suicidal schizophrenics. Acta Psychiatr Scand 1994; 89: 81–7.CrossRefGoogle ScholarPubMed
12.Carlsson, A. The current status of the dopamine hypothesis of schizophrenia. Psychiatric Developments 1987; 5: 301–.Google Scholar
13.Pandey, SC. Davis, JM, Pandey, GN. Phosphoinositide system linked serotonin receptor subtypes and their pharmacological properties and clinical correlates. J Psychiatry Neurosci 1995; 20: 215–25.Google ScholarPubMed
14.Asberg, M, Schalling, D, Traskman-Bendz, L, Wagner, A. Psychobiology of suicide impulsivity and related phenomena. In: Meltzer, HY ed. Psychopharmacology, the third generation of progress 1987: 655–66.Google Scholar
15.Coccaro, EF, Siever, LJ, Howard, MKet al.Serotonergic studies in patients with affective and personality disorders. Arch Gen Psychiatry 1989; 46: 587–99.CrossRefGoogle ScholarPubMed
16.Keeley, HS, Nolan, M, Hooley, K, Morgan, E, Kelleher, MJ. Is there a peripheral marker of suicidality? A pilot study of auto-aggressive males. J Serotonin Res 1996; 1:3542.Google Scholar
17.Nassberger, L, Traskman-Bendz, L. Increased soluble interleukin II receptor concentrations in suicide attempters. Acta Psychiatr Scand 1993; 88: 4852.CrossRefGoogle ScholarPubMed
18.Rapaport, M, McAllister, CD, Pickar, D, Nelson, DL, Paul, S. Elevated levels of soluble interleukin II receptors in schizophrenia. Arch Gen Psychiatry 1989; 46: 291–2.CrossRefGoogle ScholarPubMed
19.Kelleher, MJ. Suicide and the Irish. Cork: Mercier Press, 1996.Google Scholar
20.Kelleher, MJ, Daly, M. Suicide in Cork and Ireland. Br J Psychiatry 1990; 157: 533–8.CrossRefGoogle ScholarPubMed
21.Plananskey, K, Johnston, R. The occurrence and characteristics of suicidal preoccupation and acts in schizophrenia. Acta Psychiatr Scand 1971; 47: 473–87.CrossRefGoogle Scholar
22.Orthangen, T, D'Elia, G. Multifamily education in schizophrenia 1. Does it have any effect? Nordisk Psykiatrisk Tidsskrift 1992; 46(1): 312.Google Scholar
23.Bohme, K. Drug and alcohol induction of suicidal behaviour. Divergent perspectives on suicidal behaviour. In: Kelleher, MJ ed. Proc Fifth Eur Symp Suicide, Cork 1994: 128–39.Google Scholar
24.Heila, H, Isometsa, E, Henriksson, M, Heikkinen, M, Marttunen, M, Lonnqvist, J. Suicide and schizophrenia. In Press. Am J Psychiatry 1997.Google ScholarPubMed
25.Azhar, MZ, Varma, SL. Akathesia induced suicidal behaviour. Eur Psychiatry 1992; 7(5): 239–41.CrossRefGoogle Scholar
26.Meltzer, HY, Okayli, G. Reduction of suicidality during clozapine treatment of neuroleptic resistant schizophrenia: impact on risk benefit assessment. Am J Psychiatry 1995; 152: 183–90.Google ScholarPubMed
27.Petit, M. Anti-depressant drug treatment of the schizophrenic patient. Encephale 1994; 20: 667–74.Google Scholar
28.Davies, LM, Drummond, MF. Economics and schizophrenia: the real cost. Br J Psychiatry 1994; 165(suppl 25): 1821.CrossRefGoogle Scholar
29.Kelleher, MJ. The prediction of suicide and the law on abortion. Ir J Psych Med 1994; 11(2): 55–6.CrossRefGoogle Scholar
30.Pokorny, AD. Prediction of suicide in psychiatric patients – report of a prospective study. Arch Gen Psychiatry 1983; 40: 249–57.CrossRefGoogle ScholarPubMed