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 |