Schizophrenia and Suicide; A Review

Öz

Suicide is among the early causes of death in patients with schizophrenia. Studies have reported that approximately 5% of patients die due to suicide. Reduction of high suicide rates in this patient group is only possible with an understanding of predictive risk factors. Concomitant depression, positive symptoms and previous suicide attempt are the factors that increase suicide risk in patients with schizophrenia. The beginning of the disease, hospitalization and the first weeks after hospitalization are the most risky periods for suicide. Regular antipsychotic treatment and convenient psychosocial support may reduce the risk of suicide.

Anahtar Kelimeler

• Schizophrenia,suicide,depression,insight

Şizofreni ve İntihar; Bir Gözden Geçirme

Öz

Şizofreni hastalarında intihar erken ölüm nedenleri arasındadır. Yapılan çalışmalar hastaların yaklaşık %5’inin intihar nedeni ile öldüğünü bildirmektedir. Bu hasta grubunda yüksek intihar oranlarının azaltılması ancak öngörücü risk etmenlerinin anlaşılması ile mümkündür. Eşlik eden depresyon, pozitif belirtiler ve önceki intihar girişimi şizofreni hastalarında intihar riskini en çok arttıran etmenlerdir. Hastalığın başlangıç dönemi, hastanede yatış ve sonrasındaki ilk haftalar intihar için en riskli dönemlerdir. Düzenli antipsikotik tedavi ve yeterli psikososyal desteğin ise intihar riskini azaltabileceği düşünülmektedir. 

Anahtar Kelimeler

• şizofreni,intihar,depresyon,içgörü

Kaynakça

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