Kiran Jakhar1, Ram Pratap Beniwal2, Triptish Bhatia3, Smita N Deshpande4. 1. Dept. Of Psychiatry, Centre of Excellence in Mental Health, PGIMER-Dr. R.M.L. Hospital, New Delhi, India. Electronic address: kjakhar48@gmail.com. 2. Dept. Of Psychiatry, Centre of Excellence in Mental Health, PGIMER-Dr. R.M.L. Hospital, New Delhi, India. Electronic address: beniwal_9@yahoo.co.in. 3. GRIP- NIH Project, Dept. of Psychiatry, Centre of Excellence in Mental Health, PGIMER-Dr. R.M.L. Hospital, New Delhi, India. Electronic address: bhatiatriptish@yahoo.co.in. 4. Dept. Of Psychiatry, Centre of Excellence in Mental Health, PGIMER-Dr. R.M.L. Hospital, New Delhi, India. Electronic address: smitadeshp@gmail.com.
Abstract
BACKGROUND: The risk of suicide among persons with schizophrenia (SZ) is higher than in general population, with multiple contributory factors. We assessed the prevalence of risk of deliberate self-harm and suicide attempts, along with associated socio-demographic and clinical factors in a group of SZ outpatients (n=61) as part of a larger study on overall schizophrenia-associated risks. AIMS: To investigate factors associated with risk of deliberate self-harm and suicide among persons with schizophrenia. METHOD: Out of 270 SZ participants evaluated for various risks using Ram Manohar Lohia Risk Assessment Interview (RML-RAI), 61 reported risk of self-harm including suicide attempt/s. The factors associated with this risk were further evaluated on clinical details and Diagnostic Interview for Genetic Studies. RESULTS: Risk of reported self-harm was 22.59%. Among them, 10% had attempted suicide at least once. Current age and past month Global Assessment of Functioning score from DIGS (GAF) were significantly correlated with suicide attempt. Attempters had significantly lower current GAF score, indicating poorer functioning. Among 27 attempters, 9 attempted at the onset of illness while 6 others attempted suicide within one year. Most common method of attempt was ingestion of insecticides or overdose of medication, followed by hanging or jumping from height. CONCLUSION: In our hospital-based sample of suicide attempters, 10% had attempted suicide, among them over 55% within first year of illness. Attempters were significantly older than non-attempters and suffered from significantly more severe illness than non-attempters. Positive symptoms were significantly associated with attempt, irrespective of time at which suicide was attempted.
BACKGROUND: The risk of suicide among persons with schizophrenia (SZ) is higher than in general population, with multiple contributory factors. We assessed the prevalence of risk of deliberate self-harm and suicide attempts, along with associated socio-demographic and clinical factors in a group of SZ outpatients (n=61) as part of a larger study on overall schizophrenia-associated risks. AIMS: To investigate factors associated with risk of deliberate self-harm and suicide among persons with schizophrenia. METHOD: Out of 270 SZ participants evaluated for various risks using Ram Manohar Lohia Risk Assessment Interview (RML-RAI), 61 reported risk of self-harm including suicide attempt/s. The factors associated with this risk were further evaluated on clinical details and Diagnostic Interview for Genetic Studies. RESULTS: Risk of reported self-harm was 22.59%. Among them, 10% had attempted suicide at least once. Current age and past month Global Assessment of Functioning score from DIGS (GAF) were significantly correlated with suicide attempt. Attempters had significantly lower current GAF score, indicating poorer functioning. Among 27 attempters, 9 attempted at the onset of illness while 6 others attempted suicide within one year. Most common method of attempt was ingestion of insecticides or overdose of medication, followed by hanging or jumping from height. CONCLUSION: In our hospital-based sample of suicide attempters, 10% had attempted suicide, among them over 55% within first year of illness. Attempters were significantly older than non-attempters and suffered from significantly more severe illness than non-attempters. Positive symptoms were significantly associated with attempt, irrespective of time at which suicide was attempted.
Authors: Ingrid Melle; Jan Olav Johannesen; Svein Friis; Ulrik Haahr; Inge Joa; Tor K Larsen; Stein Opjordsmoen; Bjørn R Rund; Erik Simonsen; Per Vaglum; Thomas McGlashan Journal: Am J Psychiatry Date: 2006-05 Impact factor: 18.112
Authors: Triptish Bhatia; Pramod Thomas; Prachi Semwal; B K Thelma; V L Nimgaonkar; Smita N Deshpande Journal: Schizophr Res Date: 2006-06-15 Impact factor: 4.939
Authors: W Wolfgang Fleischhacker; John M Kane; Jamie Geier; Onur Karayal; Sheela Kolluri; Sybil M Eng; Robert F Reynolds; Brian L Strom Journal: J Clin Psychiatry Date: 2014-03 Impact factor: 4.384