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Titolo:
Suicide and schizophrenia
Autore:
Siris, SG;
Indirizzi:
Long Isl Jewish Hlth Syst, Div N Shore, Hillside Hosp, Dept Psychiat, GlenOaks, NY 11004 USA Long Isl Jewish Hlth Syst Glen Oaks NY USA 11004 , GlenOaks, NY 11004 USA Albert Einstein Coll Med, Bronx, NY 10467 USA Albert Einstein Coll Med Bronx NY USA 10467 Coll Med, Bronx, NY 10467 USA
Titolo Testata:
JOURNAL OF PSYCHOPHARMACOLOGY
fascicolo: 2, volume: 15, anno: 2001,
pagine: 127 - 135
SICI:
0269-8811(2001)15:2<127:SAS>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
POST-PSYCHOTIC DEPRESSION; PLACEBO-CONTROLLED TRIAL; IMPROVES NEGATIVE SYMPTOMS; RECENT-ONSET SCHIZOPHRENIA; LONG-TERM COURSE; DOUBLE-BLIND; PANIC DISORDER; SCHIZOAFFECTIVE DISORDER; POSTPSYCHOTIC DEPRESSION; RISK-FACTORS;
Keywords:
assessment; depression; medication; prediction; psychopharmacology; schizophrenia; suicide; treatment;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
144
Recensione:
Indirizzi per estratti:
Indirizzo: Siris, SG Long Isl Jewish Hlth Syst, Div N Shore, Hillside Hosp, Dept Psychiat, Kaufmann Bldg,Room 105,75-59 263rd St, Glen Oaks, NY 11004 USA Long Isl Jewish Hlth Syst Kaufmann Bldg,Room 105,75-59 263rd St Glen Oaks NY USA 11004
Citazione:
S.G. Siris, "Suicide and schizophrenia", J PSYCHOPH, 15(2), 2001, pp. 127-135

Abstract

Suicide and suicide attempts occur at a significantly greater rate in schizophrenia than in the general population. Common estimates are that 10% of people with schizophrenia will eventually have a completed suicide, and that attempts are made at two to five times that rate. Demographically associated with suicidality in schizophrenia are being young, being early in the course of the illness, being male, coming from a high socioeconomic family background, having high intelligence, having high expectations, not being married, lacking social supports, having awareness of symptoms, and being recently discharged from the hospital. Also associated are reduced self-esteem, stigma, recent loss or stress, hopelessness, isolation, treatment non-compliance and substance abuse. Clinically, the most common correlates of suicidality in schizophrenia are depressive symptoms and the depressive syndrome, although severe psychotic and panic-like symptoms may contribute as well. This review specifically explores the issue of depression in schizophrenia, in relation to suicide, by organizing the differential diagnosis of thisstate and highlighting their potentially treatable or correctable causes. This differential diagnosis includes both acute and chronic disappointment reactions, the prodrome of an acute psychotic episode, neuroleptic induced akinesia and akathisia, the possibility of direct neuroleptic-induced depression, negative symptoms of schizophrenia, and the possible co-occurrence of an independent depressive diathesis. The potential beneficial roles of 'atypical' antipsychotic agents, including both clozapine and more novel agents, and adjunctive treatment with other psychopharmacological medications are considered, and the important roles of psychosocial factors and interventions are recognized.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/01/20 alle ore 12:19:43