Original Articles
A study of suicidal ideas and behaviour among patients with schizophrenia | |
BhartiAlok, DubeyVaibhav, PandeyPulkit, LoyaS. Mitali , Tiwari Neetu | |
Background- Suicide is the single biggest cause of death for schizophrenic patients. Suicide is a preventable act and can be reduced by assessing suicidal ideas and behaviours and by starting early interventions. This study was done to find out prevalence of suicidal ideas and behaviour among patients with schizophrenia and to assess demographic characteristics and disease related characteristics associated with suicidal ideations and suicidal behaviours among them.Methodology-This study was conducted as cross-sectional study on 75 diagnosed cases of schizophrenia, attending tertiary care centre, Bhopal. All of the participants' socio-demographic information and disease related characteristics was documented in a semi-structured proforma. The clinical manifestations and symptoms of all patients were assessed using PANSS. Suicidal ideation and prompts were assessed by applying Columbia suicide severity rating scale (CSSRS). Results- This study was conducted on a total of 75 diagnosed cases of schizophrenia and risk of suicidality was present in 33 (44%) cases with schizophrenia. Lower age was significantly associated with risk as well as severity of suicidality (p<0.05). Risk of suicidality was significantly higher during early phase of illness as observed from lower mean duration of illness in patients with risk of suicidality (p<0.05). Short duration of illness, not taking treatment and higher total and positive PANSS score were significantly associated with severity of suicidal risk (p<0.05).Conclusion-Schizophrenia as a disease, carries a higher risk of suicide. More research into the links between schizophrenia and suicide is needed. Suicidal ideas are precursor to either attempted suicide or completed suicide. Finding out prevalence and associated risk factors in Indian setting can help understanding magnitude of the problem and potential indicators or red flags of suicide. This may finally help in preventing suicides. |
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