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Psychosocial factors contributing to suicidal ideation in hospitalized schizophrenia patients in Korea.
MedLine Citation:
PMID:  20577615     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: This study aimed to comprehensively evaluate psychosocial risk factors associated with suicidality in patients with schizophrenia in Korea.
METHODS: The study sample consisted of 84 hospitalized patients with schizophrenia. Suicidal thoughts and a clear desire to be dead within 2 weeks were defined as a current suicidal ideation. Socio-demographic and clinical variables, including family history of completed suicides and psychiatric illnesses, were collected, and the Positive and Negative Syndrome Scale (PANSS), Calgary Depression Scale for Schizophrenia (CDSS), Beck Depression Inventory (BDI), Simpson-Angus Scale (SAS), Scale to assess Unawareness of Mental Disorder (SUMD), and Alcohol Use Disorders Identification Test (AUDIT) were administered to identify factors associated with a current suicidal ideation.
RESULTS: Forty-three subjects (51.2%) reported clear suicidal ideation. Multivariate analysis revealed that later age of illness onset, previous suicide attempt, family history of completed suicide, depression, or substance abuse, fewer than one family visitation to the hospital per month, and score on the CDSS were independently related to current suicidal ideation in these subjects. Age, education level, and scores on the SUMD were not significantly associated with current suicidal ideation in the multivariate analysis, but were associated with suicidal ideation in a univariate analysis on the level of p<0.1.
CONCLUSION: The above clinical factors should be evaluated to predict and prevent suicidal risk in patients with schizophrenia. In particular, modifiable factors such as depression should be managed to reduce suicidality of hospitalized patients with schizophrenia.
Authors:
Sung-Wan Kim; Su-Jung Kim; Ji-Woong Mun; Kyung-Yeol Bae; Jae-Min Kim; Seon-Young Kim; Su-Jin Yang; Il-Seon Shin; Jin-Sang Yoon
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Publication Detail:
Type:  Journal Article     Date:  2010-05-04
Journal Detail:
Title:  Psychiatry investigation     Volume:  7     ISSN:  1976-3026     ISO Abbreviation:  Psychiatry Investig     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101242994     Medline TA:  Psychiatry Investig     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  79-85     Citation Subset:  -    
Affiliation:
Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea.
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