Patients with schizophrenia at any time there may be dangerous behavior, which mainly refers to the destructive, self injury and Dutch act s
Patients with schizophrenia at any time there may be dangerous behavior, which mainly refers to the destructive, self injury and Dutch act suddenly run away. These risk behaviors are controlled by specific psychiatric symptoms, including:
Command hallucinations: this vivid and specific auditory hallucinations, and suddenly, more threatening, patients are difficult to distinguish the authenticity, and absolute obedience.
For example, phonism for the patient to die, patients will not hesitate to use jumping, hanging, banging your head against a wall and other cruel way Dutch act. This suicide often occurs suddenly, the family can not see any aura, but after the event (if the suicide did not succeed), the patient will be willing to say is a voice to let him die. Therefore, this suicide is very dangerous.
For example, a patient hears a voice out of thin air and praises him for his ability to get an important appointment somewhere before midnight the next day". As a result, the patient in the absence of any preparation, they went out of the house, boarded the train to the field.
In short, the command hallucinations risk in content and in time the unpredictability of the family must pay more attention to this. If the patient is found to have this symptom, the family should always accompany the patient. To be on the safe side, it would be better to send the patient to hospital.
Delusions of persecution: This is one of the most common symptoms of all patients with mental illness, the majority of patients to take patience, escape attitude, a small number of patients will be the first to be strong for his imaginary enemy active attack. In this regard, the most important thing is to find out the patient's delusional object, that is: the patient who is the key to him. If the patient's delusional object is a family, should try to let the family away from the patient, at least not to let him alone with the patient.
Depression: schizophrenia patients in different periods of disease, may have depressed, even be pessimistic and worldweary. Of particular note is that a considerable number of patients with successful suicide, the recovery of the disease during the implementation of suicide. After the elimination of psychotic symptoms in patients, because of their disease carry a heavy burden, can not correctly deal with education, employment, marriage and other practical problems, feel cornered, so chose to commit suicide. In this regard, the family must nip in the bud, to find the patient's psychological distress as soon as possible, timely.
To have made it clear that Dutch act concept of patients, family members should not confound, don't avoid being seen, should take the initiative to discuss the pros and cons of Dutch act and patients, help patients comprehensively and objectively assess the difficulties encountered in reality, find out a feasible solution.
Shijiazhuang mental health center Zhang Qingbin