Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-22T08:41:53.720Z Has data issue: false hasContentIssue false

Suicide Among Chinese Schizophrenics in Hong Kong

Published online by Cambridge University Press:  02 January 2018

K. K. Cheng*
Affiliation:
Department of Community Medicine, University of Hong Kong, Sassoon Road, Hong Kong
C. M. Leung
Affiliation:
Department of Medicine, Kwong Wah Hospital, Kowloon, Hong Kong
W. H. Lo
Affiliation:
Mental Health Service, 9B Bonham Road, Hong Kong
T. H. Lam
Affiliation:
Department of Community Medicine, University of Hong Kong, Sassoon Road, Hong Kong
*
Correspondence

Abstract

A descriptive study of suicides in 74 Chinese schizophrenic out-patients (43 male) is presented. The mean age at death was 31.3 years. The mean duration of illness was 8.5 years and 50 of the 74 died within ten years of onset of illness. Only five lived alone; 35 were openly employed and 20 were married at the time of death. Twenty had a history of depression, and 27 had attempted suicide previously. More females had been depressed or had attempted suicide than males. Over half were last admitted for reasons other than schizophrenic symptoms alone and ten died within one month of discharge. Eight of 71 patients followed up expressed suicidal ideas at the last psychiatric contact, but only 15 were symptomatic. Jumping was the commonest method used. Analytical studies are needed to identify risk factors in Chinese schizophrenics.

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1989 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.Google Scholar
Barraclough, B., Bunch, J., Nelson, B., et al (1974) A hundred cases of suicide. British Journal of Psychiatry, 125, 355373.CrossRefGoogle ScholarPubMed
Breier, A. & Astrachan, B. M. (1984) Characterization of schizophrenic patients who commit suicide. American Journal of Psychiatry, 141, 206209.Google ScholarPubMed
Census and Statistics Department (1981) Hong Kong 1981 Census. Hong Kong: Census and Statistics Department.Google Scholar
Chia, B. H. (1981) Suicidal Behaviour in Singapore. Tokyo: Seamic.Google Scholar
Drake, R. E., Gates, C, Whitaker, A., et al (1985) Suicide among schizophrenics: a review. Comprehensive Psychiatry, 26, 90100.CrossRefGoogle ScholarPubMed
Drake, R. E., & Cotton, P. G. (1986) Depression, hopelessness and suicide in chronic schizophrenia. British Journal of Psychiatry, 148, 554559.Google Scholar
Drake, R. E., Gates, C. & Cotton, P. G. (1986) Suicide among schizophrenics: a comparison of attempters and completed suicides. British Journal of Psychiatry, 149, 784787.Google Scholar
Hirsch, S. R. (1982) Depression ‘revealed’ in schizophrenia. British Journal of Psychiatry, 140, 421424.Google Scholar
Law, S. K. (1986) Suicide – some international and Hong Kong findings. In Mental Health in Hong Kong, 1986 (ed. Khoo, T. P.), pp. 266278. Hong Kong: Mental Health Association of Hong Kong.Google Scholar
Lo, W. H. & Leung, T. M. (1985) Suicide in Hong Kong. Australian and New Zealand Journal of Psychiatry, 19, 287292.Google Scholar
Lo, W. H. & Lo, T. (1977) A ten-year follow-up study of Chinese schizophrenics in Hong Kong. British Journal of Psychiatry, 131, 6366.Google Scholar
Miles, C. P. (1977) Conditions predisposing to suicide: a review. Journal of Nervous and Mental Disease, 164, 231246.CrossRefGoogle ScholarPubMed
Pokorny, A. & Kaplan, H. (1976) Suicide following psychiatric hospitalization. Journal of Nervous and Mental Disease, 162, 119125.CrossRefGoogle ScholarPubMed
Roy, A. (1982) Suicide in chronic schizophrenia. British Journal of Psychiatry, 141, 171177.Google Scholar
Shaffer, J. W., Perlin, S., Schmidt, C. W., et al (1974) The prediction of suicide in schizophrenics. Journal of Nervous and Mental Disease, 159, 349355.CrossRefGoogle Scholar
Scottish Schizophrenia Research Group (1987) The Scottish first episode schizophrenia study. I. Patient identification and categorisation. British Journal of Psychiatry, 150, 331333.CrossRefGoogle Scholar
Temoche, A., Pugh, T. & MacMahon, B. (1964) Suicide rates amongst current and former mental institution patients. Journal of Nervous and Mental Disease, 138, 124130.Google Scholar
Tuckman, J. & Youngman, W. F. (1968) Assessment of suicidal risk in attempted suicide. In Suicidal Behaviors (ed. Resnick, H. L. P.). Boston: Little, Brown and Co.Google Scholar
Warnes, H. (1968) Suicide in schizophrenia. Diseases of the Nervous System, 29, 3540.Google Scholar
Yap, P. M. (1958) Suicide in Hong Kong. Oxford: Oxford University Press.CrossRefGoogle ScholarPubMed
Submit a response

eLetters

No eLetters have been published for this article.