Suicide attempts and associated factors in older adults with schizophrenia
Suicide attempts and associated factors in older adults with schizophrenia
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DOI：
10.1016/j.schres.2010.03.010
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发表时间：
2010-06-01
影响因子：
4.5
通讯作者：
Diwan, Shilpa
中科院分区：
文献类型：
--
作者：
Cohen, Carl I.;Abdallah, Chadi G.;Diwan, Shilpa
背景资料：虽然有许多关于年轻精神分裂症患者自杀倾向的研究，但还没有针对社区居住的老年精神分裂症患者的研究。这项研究提供了居住在纽约市的患有精神分裂症的老年人混合种族样本中自杀率以及与既往自杀企图相关的因素的数据。方法：精神分裂症组由198名55岁的人组成，他们在45岁之前患上精神分裂症。社区比较组（n = 113）采用随机选择的街区组招募。根据精神分裂症自杀风险模型，确定了15个终生自杀企图的预测变量。结果：精神分裂症组的人当前和终生“自杀倾向”（即，想死，自杀想法或自杀企图）与社区组相比（当前：10%对2%;终身：56%对7%）以及过去的自杀企图（30%对4%）。在精神分裂症组内，在Logistic回归分析，2个变量显着相关的终身自杀企图：目前的综合征抑郁症和创伤和Victimization Scale.Conclusions较高的分数：数据证实，在以后的生活中，精神分裂症患者继续有较高的自杀率比他们的同龄人在社区。我们的研究结果强调了在这个年龄组监测自杀倾向的重要性。风险因素的相对缺乏意味着从业者可以更容易地将其治疗工作集中在风险个体上。(C)2010 Elsevier B. V.保留所有权利。
Background: Although there have been numerous studies of suicidality in younger populations with schizophrenia, there have been no studies focused on community-dwelling older adults with schizophrenia. This study provides data on the prevalence of suicidality and factors associated with previous suicide attempts among a mixed racial sample of older persons with schizophrenia living in New York City.Methods: The schizophrenia group consisted of 198 persons aged 55 years who developed schizophrenia before age 45. A community comparison group (n = 113) was recruited using randomly selected block groups. Fifteen predictor variables of lifetime suicide attempts based on a risk model of suicide in schizophrenia were identified.Results: Persons in the schizophrenia group had a significantly higher prevalence of current and lifetime "suicidality" (i.e., wants to be dead, suicidal thoughts, Or suicide attempts) when compared to the community group (current: 10% versus 2%; lifetime: 56% versus 7%) as well as past suicidal attempts (30% versus 4%). Within the schizophrenia group, in logistic regression analysis, 2 variables were significantly associated with lifetime suicidal attempts: current syndromal depression and higher scores on the Traumatic and Victimization Scale.Conclusions: The data confirmed that in later life, persons with schizophrenia continue to have a higher prevalence of suicidality than their age peers in the community. Our findings underscore the importance of monitoring for suicidality in this age group. The relative paucity of risk factors means that practitioners can more easily focus their therapeutic efforts on at-risk individuals. (C) 2010 Elsevier B.V. All rights reserved.