Title Prevalence, demographic and clinical correlates of suicide attempts in Chinese medicated chronic inpatients with schizophrenia
Authors Zhang, Xiang Yang
Al Jurdi, Rayan K.
Zoghbi, Anthony William
Chen, Da Chun
Xiu, Mei Hong
Tan, Yun Long
Yang, Fu De
Kosten, Thomas R.
Affiliation Baylor Coll Med, Menninger Dept Psychiat & Behav Sci, Houston, TX 77030 USA.
Michael E DeBakey VA Med Ctr, Houston, TX USA.
Peking Univ, Beijing HuiLongGuan Hosp, Beijing 100871, Peoples R China.
VA Med Ctr, Res Bldg 109,Room 130,2002 Holcombe Blvd, Houston, TX 77030 USA.
Keywords Schizophrenia
Suicide
Risk factors
Smoking
China
RANDOMIZED CONTROLLED-TRIAL
NEGATIVE SYNDROME SCALE
1ST EPISODE PSYCHOSIS
QUALITY-OF-LIFE
CIGARETTE-SMOKING
RISK-FACTORS
1ST-EPISODE PSYCHOSIS
REVISED NOMENCLATURE
PSYCHIATRIC-PATIENTS
SPECTRUM DISORDERS
Issue Date 2013
Publisher journal of psychiatric research
Citation JOURNAL OF PSYCHIATRIC RESEARCH.2013,47,(10),1370-1375.
Abstract The high prevalence of suicide in schizophrenia may be related to its demographic and clinical characteristics. Because suicide prevalence and its associations with clinical variables are less well characterized in Chinese than European patients with schizophrenia, we assessed the suicide attempts in 520 Chinese inpatients with schizophrenia. The suicide attempt data were collected from medical case notes and interviews with the patients and their family members. Patients were rated on the Positive and Negative Syndrome Scale (PANSS), the Simpson and Angus Extrapyramidal Symptom Rating Scale (SAES), and the Abnormal Involuntary Movement Scale (AIMS). Smoking severity was evaluated using clinician-administered questionnaires and the Fagerstrom Test for Nicotine Dependence (FTND). We found a suicide attempt rate of 9.2% in these schizophrenic inpatients. The attempters were single, had a significantly younger age but more hospitalizations, had higher depressive symptoms, and began smoking at an earlier age, smoked more cigarettes each day and had higher FTND total scores than patients without suicide attempts. The logistic regression analysis also indicated that suicide attempts were associated with the number of hospitalizations, depressive symptoms and FTND total scores. These results suggest that Chinese inpatients with schizophrenia attempt suicide more often than the general population. Further, some demographic and clinical variables are risk factors for suicide attempts in schizophrenia. (C) 2013 Elsevier Ltd. All rights reserved.
URI http://hdl.handle.net/20.500.11897/220647
ISSN 0022-3956
DOI 10.1016/j.jpsychires.2013.05.024
Indexed SCI(E)
SSCI
Appears in Collections: 北京回龙观医院

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