Predictors of suicide in psychiatric hospital

A. Steblaj · Rok Tavčar · Mojca Zvezdana Dernovšek

75 citations0/0 files storedActa Psychiatrica Scandinavica

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Suicide and Self-Harm Studies Psychiatric care and mental health services Homicide, Infanticide, and Child Abuse

Abstract

OBJECTIVE: About 5% of all suicides occur in psychiatric hospitals. The aim of this study was to look for potential characteristics common to patients who committed suicide in psychiatric hospital. METHOD: All patients who committed suicide in University Psychiatric Hospital in Ljubljana, Slovenia, in the period 1984-1993 were included. The suicidal patients (SP) with schizophrenia (SCH) and affective psychoses (AP) were compared to an age-, sex- and diagnosis-matched control group. Data from files and (in control patients) patient interviews were gathered. Multivariate logistic regression analysis was used. RESULTS: A total of 79 patients (34 males and 45 females) committed suicide. The majority of them had SCH (n = 36) and AP (n = 23). The predictors of suicide among patients with AP and SCH were depression and lack of insight and, in addition in patients with SCH, past suicidal behaviour and poor relationships with family members. CONCLUSION: This study provides the clinician with information on risk factors for in-patient suicide.

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References

1985Hopelessness and eventual suicide: a 10-year prospective study of patients hospitalized with suicidal ideation 1977CONDITIONS PREDISPOSING TO SUICIDE 1991The Prediction of Suicide 1982Suicide in Chronic Schizophrenia 1997Suicide and schizophrenia: a nationwide psychological autopsy study on age- and sex-specific clinical characteristics of 92 suicide victims with schizophrenia 1995The last appointment before suicide: is suicide intent communicated?1984Suicide among Schizophrenics 1996Suicidal behavior in schizophrenia and its relationship to awareness of illness

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