The change of symptomatology in hospitalized suicidal patients.

In order to investigate suicides in a psychiatric clinic, it is an important question whether patients who commit a suicide or parasuicide are distinguishable from other patients in their symptomatic. The sample consists of 22 suicide cases, 83 parasuicide cases, and 44 nonsuicidal control cases. Comparisons are made between these groups with regard to 26 symptoms before admission and during hospitalization. The results suggest that the symptomatic on admission of all groups did not differ significantly. During treatment, the suicide group did not improve in the same way as the others. This group worsened and displayed seven depressive symptoms such as hopelessness, despondency, motoric inhibition, tension, agitation, anxiety, and impulsive actions. Failures such as continual increase in the symptomatic stress the therapeutic alliance.