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Prevalence and associated factors of suicide among hospitalized schizophrenic patients

World Journal of Clinical Cases 2020年第4期8卷 757-770页

作者： Pakapan Woottiluk Benchalak Maneeton Natthanan Jaiyen wajana khemawichanurat Suttipong Kawilapat Narong Maneeton Psychiatric Nursing Division Faculty of NursingChiang Mai UniversityChiang Mai 50200Thailand Department of Psychiatry Faculty of MedicineChiang Mai UniversityChiang Mai 50200Thailand Graduate School Chiang Mai UniversityChiang Mai 50200Thailand Suan Prung Psychiatric Hospital Chiang Mai 50100Thailand

BACKGROUND Previous studies found several factors associated with suicide in schizophrenic patients,such as age,sex,education level,history of suicide attempts,psychotic symptoms,social factors,and substance ***,there might be some additional factors that were not considered in previous studies but may be correlated with a greater likelihood of suicide attempts,such as medication and *** To investigate the prevalence of suicide attempts and identify the risk of suicidality in hospitalized schizophrenia *** This is a cross-sectional study of schizophrenic patients admitted to a psychiatric hospital who were 18 years of age or *** outcomes and possible suicide risk factors in these patients were *** current suicide risk was evaluated using the mini-international neuropsychiatric interview module for suicidality and categorized as none(0 points),mild(1-8 points),moderate(9-16 points),or severe(17 or more points).This study used ordinal logistic regression to assess the association of potential risk factors with the current suicide risk in schizophrenic *** Of 228 hospitalized schizophrenia patients,214(93.9%)were included in this *** majority(79.0%)of patients were *** appeared to have a slightly higher suicidality risk than males,with borderline *** regard to the current suicide risk assessed with the mini-international neuropsychiatric interview,172(80.4%)schizophrenic patients scored zero,20(9.4%)had a mild risk,8(3.7%)had a moderate risk,and 14(6.5%)had a severe *** total prevalence of current suicide risk in these schizophrenic patients was 19.6%.Based on multivariable ordinal logistic regression analysis with backward elimination,it was found that younger age,a current major depressive episode,receiving fluoxetine or lithium carbonate in the previous month,or a relatively higher Charlson comorbidity index score were all significantly and independently associated with a

关键词： Hospitalization Schizophrenia Prevalence Suicide attempts Suicide risk Charlson comorbidity index

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