Clinical evaluation of suicide risk in patients with schizophrenia Research conclusion:1. The proportion of patients with schizophren
Clinical evaluation of suicide risk in patients with schizophrenia
1. The proportion of patients with schizophrenia who received suicide risk assessment was increased year by year;
2, due to various reasons, the predictive value of the assessment is limited;
3. In spite of this, it is important to assess the risk of suicide in patients with schizophrenia.
A newly published "psychiatric services" (full text Download: Psychiatr Serv. 2013 Nov 1) of the study showed that in patients with schizophrenia is necessary Dutch act risk assessment before discharge, especially those high-risk groups, such as male, was first diagnosed with schizophrenia patients.
"We need to continue our efforts to systematically assess the risk of suicide and to take measures to reduce the risk of these patients before they are discharged." Charlotte, Gjø, RUP, the first author of the study and a psychiatric hospital in Aalborg, Pedersen.
Of the 7017 patients enrolled in the study, a total of 1% of patients who were discharged from the hospital within a period of up to 1 years had successfully committed suicide and another had attempted suicide by 8%. Overall, 66% of patients who had committed suicide had a record of suicide risk assessment, compared with those who had attempted suicide, a figure of about 73%.
The number of men who committed suicide was 3/4, but the risk of suicide was lower than that of women after adjusting for individual and treatment related factors. Patients with alcohol and substance abuse were also less likely to receive suicide risk assessments.
Among all the subjects, 19% patients with schizophrenia were diagnosed as the first. Of these patients, 64% received Dutch act and risk assessment and related information available prior to discharge related risk information 23% has been lost, the other did not accept the assessment. Through the evaluation and acceptance of mental psychopathology cognitive tests improve these patients accept the possibility of risk assessment Dutch act.
"Although the systematic suicide risk assessment is recommended, because of the high incidence of risk factors and the relatively low suicide rate, the predictive value is limited." Researchers say.
"This assessment may be used to alert clinicians to the risk of suicide in patients, but should not be used alone."
In fact, the implementation of this assessment has been improved: in 2005, 72% of patients were assessed before discharge, by the year of 2009, this figure rose to 89%.
The researchers conclude: "it is necessary to improve the overall health care of patients with schizophrenia before and after discharge."
Compiled from: Adherence to risk assessment for patients urged, MedwireNews, 08 November 2013, suicide, schizophrenia
Clinical characteristics and mental disorders diagnosis of attempted suicide
JAMA: psychotic symptoms and risk of juvenile suicide
Excessive smoking increases the risk of suicide in schizophrenia
Suicide patterns vary by gender
Key words: schizophrenia, suicide risk before discharge
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