SCHIZOPHRENICS KILL THEMSELVES TOO - A REVIEW OF RISK-FACTORS FOR SUICIDE
SCHIZOPHRENICS KILL THEMSELVES TOO - A REVIEW OF RISK-FACTORS FOR SUICIDE
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DOI：
10.1093/schbul/16.4.571
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发表时间：
1990-01-01
影响因子：
6.6
通讯作者：
GOTTESMAN, II
中科院分区：
文献类型：
--
作者：
CALDWELL, CB;GOTTESMAN, II
精神分裂症患者的自杀率高得令人不安。目前，自杀是精神分裂症患者过早死亡的头号原因，10%至13%的人自杀。最近的研究表明，精神分裂症患者的自杀风险与情感障碍患者相当。抑郁症，特别是自我报告或感觉到的绝望症状，是评估这种风险的一个重要的共病因素。年轻的白色精神分裂症男性，具有高水平的病前功能和高期望值，风险特别高。精神分裂症女性，不像一般人群中的女性，在选择自杀时表现得更像男性。本文综述了近年来精神分裂症患者自杀率和自杀危险因素的研究。目前的问题有关的预测，预防和治疗精神分裂症患者的自杀行为也进行了讨论。
Suicide rates among schizophrenic individuals are disturbingly high. At present, suicide is the number one cause of premature death among schizophrenics, with 10 to 13 percent killing themselves. Recent studies place the risk of suicide for persons with schizophrenia at a level comparable to that for persons with affective disorder. Depression, especially the symptom of self-reported or perceived hopelessness, is an important comorbidity factor in assessing this risk. Young white schizophrenic men with high levels of premorbid functioning and high expectations are at particularly high risk. Schizophrenic women, unlike women in the general population, behave more like men when it comes to choosing suicide. This article reviews recent studies reporting suicide rates and risk factors for, suicide among schizophrenic patients. Current issues concerning the prediction, prevention, and treatment of suicidality among persons with schizophrenia are also discussed.