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伴有和不伴有强迫症的精神分裂症患者的自杀倾向

Suicidality in schizophrenic patients with and without obsessive-compulsive disorder.

作者信息

Sevincok Levent, Akoglu Aybars, Kokcu Filiz

机构信息

Department of Psychiatry, Adnan Menderes University Faculty of Medicine, Aydin, Turkey.

出版信息

Schizophr Res. 2007 Feb;90(1-3):198-202. doi: 10.1016/j.schres.2006.09.023. Epub 2006 Nov 22.

Abstract

This report examines the suicidal behaviour in subjects with schizophrenia who have (N=24) and do not have comorbid Obsessive-Compulsive Disorder (OCD) (N=33). The patients with OCD-schizophrenia were more likely to have a previous history of suicidal attempts, and ideations. The number of previous suicidal attempts were significantly higher in patients with OCD-schizophrenia than in patients with non-OCD schizophrenia. The patients with a history of previous suicide attempts were more likely to have a comorbid diagnosis of OCD. Compulsive symptoms were significant predictors of suicide attempt among patients with schizophrenia. Our preliminary findings may suggest that obsessive-compulsive symptoms may account for the emergence of suicidality in patients with OCD-schizophrenia.

摘要

本报告研究了患有(N = 24)和未患有共病强迫症(OCD)(N = 33)的精神分裂症患者的自杀行为。患有强迫症-精神分裂症的患者更有可能有自杀未遂史和自杀观念。强迫症-精神分裂症患者既往自杀未遂的次数显著高于非强迫症精神分裂症患者。有既往自杀未遂史的患者更有可能被诊断为共病强迫症。强迫症状是精神分裂症患者自杀未遂的重要预测因素。我们的初步研究结果可能表明,强迫症状可能是导致强迫症-精神分裂症患者出现自杀倾向的原因。

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