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Suicide Risk Factors Assessment in Schizophrenia

机译:精神分裂症的自杀危险因素评估

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Schizophrenia is a highly disabling disorder, with impact over the cognition, affectivity, behavior, motivation and volition, therefore it decrease the patient's ability to function adequately in multiple domains (familial, social, professional etc). The assessment of suicide risk factors in schizophrenia is a necessary step in diminishing the mortality of a high risk for self-aggression population. Suicide among schizophrenia diagnosed patients is higher than in general population and than in other psychiatric populations. It is considered that almost one quarter to one half of the patients with this diagnosis have at least one suicidal attempt during lifetime, while 5-10% succeed in taking their own lives. An alarming discovery from epidemiological trials is that many patients who commit suicide consulted a psychiatrist recently (within 1-2 weeks prior to their self-aggression) or have attempted suicide during hospitalization. The young age at onset and the insidious type of onset, being single, having a high level of expectations from his/her own cognitive performances, paranoid type, previous history of suicide attempts, hopelessness, high level of comorbidity and stressful life events have been associated in psychiatric literature with higher risk for suicidal attempts and finalized suicide. However, data from the national psychiatric and epidemiological literature regarding this kind of correlations are sparse and we tried to create a profile for the main suicide risk factors. The importance of establishing the main categories of risk factors for suicide in schizophrenia diagnosed patients is derived from both a prognosis and a therapeutic point of view, because delineating these factors could improve the evolution of patients through secondary prevention.
机译:精神分裂症是一种高度致残的疾病,会影响认知,情感,行为,动机和意志,因此会降低患者在多个领域(家庭,社会,专业等)的正常运作能力。评估精神分裂症中自杀风险因素是降低高水平自我攻击人群死亡率的必要步骤。在被诊断为精神分裂症的患者中,自杀率高于普通人群和其他精神科人群。据认为,几乎四分之一至一半的患有这种诊断的患者在一生中至少有一次自杀企图,而5-10%的人成功自杀。流行病学试验的一个令人震惊的发现是,许多自杀的患者最近(在他们自我攻击之前的1-2周内)咨询了精神病医生或在住院期间曾尝试自杀。发病年龄年轻,发病隐匿,单身,对自己的认知表现,偏执型,自杀未遂史,绝望,高合并症和压力大的生活事件寄予厚望。在精神病学文献中有较高的自杀企图和最终自杀风险。但是,来自国家精神病学和流行病学文献的有关此类关联的数据很少,我们试图为主要的自杀危险因素建立概况。从预后和治疗的观点出发,确定在精神分裂症诊断的患者中自杀的主要危险因素类别的重要性,因为描述这些因素可以通过二级预防改善患者的病情发展。

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