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Düşünen Adam. 2013; 26(4): 341-350


The correlation of suicide attempt and suicidal ideation with insight, depression and severity of illness in schizophrenic patients

Gokhan Umut, Zeren Ozturk Altun, Birim S. Danismant, Ilker Kucukparlak, Nesrin Karamustafalioglu, Mehmet Cem Ilnem.

Abstract
Objective: At this study, it is aimed to determine criteria to predict the suicidal risks of schizophrenic patients and to explore the correlation of suicide attempt and suicidal ideation with insight, depression and severity of illness as well.
Method: Randomly selected 104 inpatients between 20 and 65 years of age, treated with a diagnosis of schizophrenia according to DSM-IV-TR criteria at Bakirkoy Training and Research Hospital for Psychiatry, Neurology and Neurosurgery were included, and patients were examined at the period of first 72 hours of admission. The patients were evaluated with Schedule for Assessing the Three Components of Insight (SAI), Positive and Negative Syndrome Scale (PANSS), and Calgary Depression Scale for Schizophrenia (CDSS).
Results: Depression scores were higher in the patients who had suicide attempt compared to those without suicide attempt. Depression and insight scores of the patients who had suicidal ideation were found to be higher compared to those without suicidal ideation. In the logistic regression analysis, CDSS was found to be the determinant of suicide attempt and suicidal ideation, PANSS negative total score was found to be the determinant of suicidal ideation, and self destructive behavior was found to be the determinant of suicide attempt.
Conclusion: As depression was the common factor that determines the suicidal ideation and suicide attempts, suicidal ideation should be inquired more carefully and in more detail in the presence of depressive symptoms in patients with schizophrenia. We consider that CDSS can be easily applied and can determine the depression in patients with schizophrenia and the treatment of depression with eligible methods in turn, decreases risk of suicide.

Key words: Depression, insight, PANSS, schizophrenia, suicide



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