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Suicide Ideation and Behavior as Risk Factors for Subsequent Suicide in Schizophrenia: A Nested Case–Control Study
- Source :
- Suicide and Life-Threatening Behavior. 49:996-1005
- Publication Year :
- 2018
- Publisher :
- Wiley, 2018.
-
Abstract
- Objective To investigate suicide ideation and behavior as risk factors for suicide in schizophrenia during varying time periods. Method Cases were 84 patients who died by suicide within 5 years from diagnosis in a source population of patients discharged for the first time from psychiatric hospitals in Stockholm County, Sweden, with a schizophrenia spectrum diagnosis. One control was individually matched with each suicide case. Data were retrieved from clinical records in a blind fashion. Thoughts of death, thoughts of suicide, suicide plan, and suicide attempt during varying time periods were investigated as risk factors for subsequent completed suicide. Results In adjusted analyses, thoughts of suicide, suicide plan, and suicide attempt were significantly associated with subsequent completed suicide in the following year. The highest suicide risk was found within a year following suicide attempt (adjusted OR 9.9, 95% confidence interval 2.5-39.0). The association between suicide ideation and behavior and subsequent suicide declined over time. Conclusions Several types of suicide ideation and behavior were associated with suicide, and the association was stronger for suicidal behavior. The clinical significance of suicidal communication appears highest during the following month or/and year. Many suicides occurred without recorded short-term suicidal communication.
- Subjects :
- Adult
Male
050103 clinical psychology
medicine.medical_specialty
Time Factors
Poison control
Suicide, Attempted
Behavioral Symptoms
Risk Assessment
Suicide prevention
Suicidal Ideation
03 medical and health sciences
0302 clinical medicine
Risk Factors
Suicide ideation
Humans
Medicine
0501 psychology and cognitive sciences
Psychiatry
Sweden
Suicide attempt
business.industry
05 social sciences
Public Health, Environmental and Occupational Health
Middle Aged
medicine.disease
Patient Discharge
Confidence interval
030227 psychiatry
Psychiatry and Mental health
Clinical Psychology
Schizophrenia
Case-Control Studies
Nested case-control study
Female
Schizophrenic Psychology
business
Schizophrenia spectrum
Subjects
Details
- ISSN :
- 1943278X and 03630234
- Volume :
- 49
- Database :
- OpenAIRE
- Journal :
- Suicide and Life-Threatening Behavior
- Accession number :
- edsair.doi.dedup.....bf1d974d6cb03e484d4eed6c3a6227c1