RISK-FACTORS FOR SUICIDE AMONG PATIENTS WITH SCHIZOPHRENIA
RISK-FACTORS FOR SUICIDE AMONG PATIENTS WITH SCHIZOPHRENIA
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DOI：
10.1111/j.1600-0447.1987.tb05626.x
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发表时间：
1987-10-01
影响因子：
6.7
通讯作者：
WISTEDT, B
中科院分区：
文献类型：
--
作者：
ALLEBECK, P;VARLA, A;WISTEDT, B
为探讨精神分裂症患者自杀的危险因素，我们对32例11年随访中自杀的精神分裂症患者与未自杀的精神分裂症患者进行了比较。自杀未遂史是与自杀关系最密切的因素。在女性中，我们发现未婚、离婚或丧偶的人以及独居的人自杀的风险增加。在男性中，我们发现有酗酒史的人风险增加。与其他研究的发现相反，年龄和性别的分布以及抑郁病史与自杀风险的增加无关。我们的结论是，精神分裂症患者的自杀行为通常是冲动的，很难预测。传统的风险量表在自杀风险的临床评估中价值有限。
In order to assess risk factors for suicide among patients with schizophrenia, we compared 32 patients with schizophrenia who committed suicide during an 11 year follow-up with a control group of 64 schizophrenics who did not commit suicide. A history of previous suicide attempts was the factor most strongly related to suicide. In females we found an increased risk for suicide among unmarried, divorced or widowed and among those living alone. In males we found an increased risk among those with a history of alcohol abuse. In contrast to findings in other studies, distribution of age and sex and a history of depressive episodes were factors not associated with an increased risk for suicide. We conclude that suicidal acts among schizophrenics are often impulsive and difficult to predict. Traditional risk scales are of limited value in the clinical assessment of suicidal risk.