Schwartz R C, Cohen B N
Department of Counseling and Special Education, University of Akron, 127 Carroll Hall, Akron, OH 44325-5007, USA.
Compr Psychiatry. 2001 Mar-Apr;42(2):118-23. doi: 10.1053/comp.2001.21222.
Suicidal intent is common among patients with schizophrenia, resulting in extreme personal distress, increased hospitalizations and healthcare expenditures, and early mortality. However, the psychosocial correlates of current suicidality among schizophrenic patients are not fully understood. This study attempted to identify psychosocial correlates of current suicidal intent in a sample of 267 patients with schizophrenia. Multiple regression analyses were used to assess the relationship between suicidality and current symptomatology, psychosocial problems, global functioning, and demographic characteristics. Results showed that depressive symptomatology as a single variable accounted for approximately 50% of the variance in ratings of suicidal intent. In addition, female gender, younger age, recent traumatic stress, and less severe psychotic symptoms each significantly predicted current suicidality independent of depressive symptoms. The combination of depression among younger female schizophrenic patients whose psychotic symptoms have abated and who are experiencing current traumatic stress may indicate extreme suicidal intent.
自杀意图在精神分裂症患者中很常见，会导致极度的个人痛苦、住院次数增加、医疗费用增加以及过早死亡。然而，目前精神分裂症患者自杀行为的社会心理相关因素尚未完全明确。本研究试图在267例精神分裂症患者样本中确定当前自杀意图的社会心理相关因素。采用多元回归分析来评估自杀行为与当前症状、社会心理问题、整体功能及人口统计学特征之间的关系。结果显示，抑郁症状作为单一变量约占自杀意图评分变异的50%。此外，女性、年龄较小、近期创伤应激以及较轻的精神病性症状各自在独立于抑郁症状的情况下均显著预测了当前的自杀行为。年轻女性精神分裂症患者中，精神病性症状已减轻且正经历当前创伤应激，同时伴有抑郁，这三者的组合可能预示着极高的自杀意图。
