Pompili Maurizio, Ruberto Amedeo, Kotzalidis Giorgio D, Girardi Paolo, Tatarelli Roberto
Department of Psychiatry, Sant'Andrea Hospital, University of Rome La Sapienza, Italy.
Bull Menninger Clin. 2004 Fall;68(4):297-318. doi: 10.1521/bumc.68.4.297.56643.
Suicide is the first cause of premature death in patients with schizophrenia. Numerous studies have identified risk factors for suicide among these patients. This study reviews available literature focusing on awareness of illness in patients with schizophrenia. Insight, or awareness of illness, has been considered a risk factor for suicide in schizophrenic patients. In assessing insight, many issues have to be taken into account, because a high degree of insight is not desirable in some conditions.
自杀是精神分裂症患者过早死亡的首要原因。众多研究已确定了这些患者自杀的风险因素。本研究回顾了聚焦于精神分裂症患者疾病自知力的现有文献。自知力,即对疾病的认识,已被视为精神分裂症患者自杀的一个风险因素。在评估自知力时,必须考虑许多问题,因为在某些情况下,高度的自知力并非是可取的。