0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

1
Letter to the Editor   |    
Suicide Risk in Schizophrenia
EDUARD VIETA, M.D.; EVARISTO NIETO, M.D.; CRISTOBAL GASTO, M.D.
Am J Psychiatry 1998;155:1626y-1626.
View Author and Article Information

Letters to the Editor

To the Editor: We read with great interest the excellent article by Hannele Heilä, M.D., and colleagues R6515511CHDBJHEH on the clinical characteristics of suicide victims with schizophrenia in the general population of Finland. One important finding of this study is that suicide may occur at any point during the course of the illness, since three-fourths of the suicides were committed during an active phase. Previous reports, focusing especially on attempted suicide, had led to the general conclusion that active psychotic features were less important than depression and hopelessness in the assessment of suicide risk in schizophrenic patients R6515511CHDCAJIIR6515511CHDBJIGJ. When we studied the more severe forms of attempted suicide, however, 81% of the schizophrenic subjects presented positive psychotic symptoms at the time of attempting suicide R6515511CHDCJGID. Our study also stressed the importance of previous attempts and the fact that more than one-quarter of the schizophrenic subjects were receiving psychiatric inpatient care when they attempted suicide, a finding similar to those of Heilä et al. R6515511CHDBJHEH. Therefore, we believe that clinicians should keep in mind that not only demoralization or depressive symptoms are important in the assessment of suicide risk in schizophrenia, but positive psychotic symptoms are even more significantly related to the risk of a serious attempt or suicide.

Heilä H, Isometsä ET, Henriksson MM, Heikkinen ME, Marttunen MJ, Lönnqvist JK: Suicide and schizophrenia: a nationwide psychological autopsy study on age- and sex-specific clinical characteristics of 92 suicide victims with schizophrenia. Am J Psychiatry  1997; 154:1235–1242
[PubMed]
 
Roy A, Mazonson A, Pickar D: Attempted suicide in chronic schizophrenia. Br J Psychiatry  1984; 144:303–306
[PubMed]
[CrossRef]
 
Drake R, Gates CH, Cotton P: Suicide among schizophrenics: a comparison of attempters and complete suicide. Br J Psychiatry  1986; 149:784–787
[PubMed]
[CrossRef]
 
Nieto E, Vieta E, Gastó C, Vallejo J, Gastó C: Suicide attempts of high medical seriousness in schizophrenic patients. Compr Psychiatry 1992; 33: 384–387
 
+

References

Heilä H, Isometsä ET, Henriksson MM, Heikkinen ME, Marttunen MJ, Lönnqvist JK: Suicide and schizophrenia: a nationwide psychological autopsy study on age- and sex-specific clinical characteristics of 92 suicide victims with schizophrenia. Am J Psychiatry  1997; 154:1235–1242
[PubMed]
 
Roy A, Mazonson A, Pickar D: Attempted suicide in chronic schizophrenia. Br J Psychiatry  1984; 144:303–306
[PubMed]
[CrossRef]
 
Drake R, Gates CH, Cotton P: Suicide among schizophrenics: a comparison of attempters and complete suicide. Br J Psychiatry  1986; 149:784–787
[PubMed]
[CrossRef]
 
Nieto E, Vieta E, Gastó C, Vallejo J, Gastó C: Suicide attempts of high medical seriousness in schizophrenic patients. Compr Psychiatry 1992; 33: 384–387
 
+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Related Content
Books
Manual of Clinical Psychopharmacology, 7th Edition > Chapter 1.  >
APA Practice Guidelines > Chapter 11.  >
APA Practice Guidelines > Chapter 11.  >
APA Practice Guidelines > Chapter 0.  >
APA Practice Guidelines > Chapter 0.  >
Topic Collections
Psychiatric News
APA Guidelines
PubMed Articles