Assessment and intervention for the suicidal patient with schizophrenia

Author(s): Nelson, E. A.

Journal/Book: Psychiat Quart. 1997; 68: 233 Spring St, New York, NY 10013-1578. Human Sci Press Inc. 361-375.

Abstract: The risk for suicidal behavior in schizophrenia is high with 10-15% committing suicide and 20-40% making suicide attempts. Due to the chronicity and complexity of schizophrenia and the multi-determined nature of suicidal behavior, the clinician must utilize a biopsychosocial approach to assessment and intervention. Clinical factors such as psychosis, depression and substance abuse increase the risk for suicidal behavior in schizophrenia. Social factors such as social adjustment and social supports also play a critical role. Ongoing assessment and intervention of suicidal behavior, clinical symptomatology, social environment and treatment issues are essential. Prediction and prevention of suicidal behavior are not always possible however. Treatment focused on the reduction of symptomatology and maintenance of an effective social environment may attenuate the risk for suicidal behavior in schizophrenia.

Note: Article HarkavyFriedman JM, New York State Psychiat Inst & Hosp, 722 W 168TH St, Unit 58, New York,NY 10032 USA

Keyword(s): 5-HYDROXYINDOLEACETIC ACID; AFFECTIVE-DISORDERS; DEPRESSIVE SYMPTOMS; ACCIDENTAL DEATHS; RISK-FACTORS; BEHAVIOR; PREDICTION; MORTALITY; EPIDEMIOLOGY; HOPELESSNESS

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