Literature DB >> 19617943

A cross-sectional study of co-occurring suicidal and psychotic symptoms in inpatients at mathari psychiatric hospital, nairobi, kenya.

David M Ndetei1, Matteo Pizzo, Lincoln I Khasakhala, Victoria N Mutiso, Francisca A Ongecha, Donald A Kokonya.   

Abstract

UNLABELLED: To investigate the prevalence of suicidal symptoms and their co-occurrence with psychotic symptoms in patients at Mathari Hospital.
METHOD: A descriptive cross-sectional study was conducted in June 2004 on inpatients at Mathari Hospital, the national psychiatric teaching and referral hospital. Data on sociodemographic characteristics and clinical diagnoses of inpatients were extracted from their clinical notes. The Structured Clinical Interview for DSM-IV (SCID) Screening Module was used to elicit information on psychotic and suicidal symptoms.
RESULTS: A total of 691 patients were interviewed, of whom 308 (44.6%) had suicidal symptoms. There were significant positive correlations (p < .05) between psychotic and suicidal symptoms diagnosed according to the criteria of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) suggesting co-existence of these 2 sets of disorders.
CONCLUSIONS: There is a high prevalence of suicidal symptoms in the patients admitted at Mathari Hospital with predominantly psychotic disorders. Although these prevalence rates are much lower than those reported elsewhere, especially for schizophrenia, they are still a cause for concern given that these suicidal symptoms were not being managed.

Entities:  

Year:  2009        PMID: 19617943      PMCID: PMC2708007          DOI: 10.4088/pcc.08m00671

Source DB:  PubMed          Journal:  Prim Care Companion J Clin Psychiatry        ISSN: 1523-5998


  30 in total

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Review 5.  Suicide and awareness of illness in schizophrenia: an overview.

Authors:  Maurizio Pompili; Amedeo Ruberto; Giorgio D Kotzalidis; Paolo Girardi; Roberto Tatarelli
Journal:  Bull Menninger Clin       Date:  2004

Review 6.  Prevalence and description of psychotic features in bipolar mania.

Authors:  E Dunayevich; P E Keck
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7.  The subjective consequences of suffering a first episode psychosis: trauma and suicide behaviour.

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Journal:  Soc Psychiatry Psychiatr Epidemiol       Date:  2006-11-02       Impact factor: 4.328

8.  Suicidal behavior in schizophrenia and schizoaffective disorder: examining the role of depression.

Authors:  Jill M Harkavy-Friedman; Elizabeth A Nelson; David F Venarde; J John Mann
Journal:  Suicide Life Threat Behav       Date:  2004

9.  Suicidality and psychosis: beyond depression and hopelessness.

Authors:  Debbie M Warman; Evan M Forman; Gregg R Henriques; Gregory K Brown; Aaron T Beck
Journal:  Suicide Life Threat Behav       Date:  2004

10.  Suicide attempts in schizophrenia: the role of command auditory hallucinations for suicide.

Authors:  Jill M Harkavy-Friedman; David Kimhy; Elizabeth A Nelson; David F Venarde; Dolores Malaspina; J John Mann
Journal:  J Clin Psychiatry       Date:  2003-08       Impact factor: 4.384

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  2 in total

1.  Suicide in Three East African Pastoralist Communities and the Role of Researcher Outsiders for Positive Transformation: A Case Study.

Authors:  Bilinda Straight; Ivy Pike; Charles Hilton; Matthias Oesterle
Journal:  Cult Med Psychiatry       Date:  2015-09

2.  Tedium vitae, death wishes, suicidal ideation and attempts in Kenya-prevalence and risk factors.

Authors:  Rachel Jenkins; Caleb Othieno; Ray Omollo; Linnet Ongeri; Peter Sifuna; Michael Ongecha; James Kingora Mboroki; David Kiima; Bernhards Ogutu
Journal:  BMC Public Health       Date:  2015-08-08       Impact factor: 3.295

  2 in total

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