Prevalence and Factors Associated with Suicidal Ideation in Institutionalized Patients with Schizophrenia

Autor:	Arunakiri Muthukrishnan, Mei Theng Yoong, May Lee Ch’ng, Benedict Tak Wai Chong, Suzaily Wahab, Kok Leong Tan
Rok vydání:	2020
Předmět:	medicine.medical_specialty education.field_of_study Univariate analysis Positive and Negative Syndrome Scale business.industry 05 social sciences Population Logistic regression medicine.disease 050105 experimental psychology 03 medical and health sciences Psychiatry and Mental health 0302 clinical medicine Schizophrenia medicine Life expectancy 0501 psychology and cognitive sciences 030212 general & internal medicine medicine.symptom Psychiatry education business Suicidal ideation General Psychology Depression (differential diagnoses)
Zdroj:	Psychology Research and Behavior Management. 13:949-962
ISSN:	1179-1578
DOI:	10.2147/prbm.s266976
Popis:	Purpose The shorter life expectancy and increased risk of suicide in patients with schizophrenia have been well documented. However, study outcomes on suicidality in this special population have been few to date. This study investigated the prevalence and factors associated with suicidal ideation in a population of institutionalized patients with schizophrenia. Methods Two hundred fifty-six patients with schizophrenia between the age of 18 and 65 years were randomly recruited. This cross-sectional study utilised the Calgary Depression Scale for Schizophrenia (CDSS), the Positive and Negative Syndrome Scale (PANSS) and the Psychotic Symptom Rating Scale (PSYRATS-AH). Univariate analysis was performed using an independent t-test or chi-square test, followed by binary logistic regression to determine the factors associated with increased suicidal risks. Results The socio-demographic factors associated with suicidal ideation included level of education (p=0.039); secondary-level education (OR=5.76, 95% CI:1.49, 22.34, p=0.011) and tertiary-level education (OR=9.30, 95% CI: 1.80, 48.12, p=0.008) posed a greater risk. A history of attempted suicide (OR=2.09, 95% CI: 1.01, 4.36, p=0.049) and the presence of co-morbid physical illnesses (OR=2.07, 95% CI: 1.02, 4.21, p=0.044) were also found to be associated with a suicidal ideation. Other significant factors associated with suicidal thoughts were concurrent depression (OR=9.68, 95% CI: 3.74, 25.05, p
Databáze:	OpenAIRE
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