Salama A A
Center for Psychiatric Education, Southern Illinois School of Medicine, Springfield 62708.
Suicide Life Threat Behav. 1988 Winter;18(4):379-84. doi: 10.1111/j.1943-278x.1988.tb00175.x.
This study supports the idea that schizophrenic patients represent a distinctive subgroup of patients who can suffer from a major depressive illness and also can commit suicide. The study showed that 22.4% of the schizophrenic population in a medium-sized psychiatric facility showed severe depressive symptoms that met the criteria for the diagnosis of a major depressive episode according to the DSM-III classification. Seven patients committed suicide during the acute phase of the illness--five during hospitalization, and two within a year of discharge. Nine patients attempted suicide during the hospitalization period, and 10 attempted suicide within a year of discharge. Nearly one-third (215) of the patients were readmitted during that year because of a recurrence of acute schizophrenic symptoms; of these, 84 were having severe depressive symptoms. The study also provides indications of the causes of suicide in these patients.
本研究支持这样一种观点，即精神分裂症患者是一个独特的患者亚组，他们可能患有重度抑郁症，也可能自杀。该研究表明，在一家中型精神病院的精神分裂症患者群体中，22.4%表现出严重的抑郁症状，根据《精神疾病诊断与统计手册》第三版分类，这些症状符合重度抑郁发作的诊断标准。7名患者在疾病急性期自杀——5名在住院期间自杀，2名在出院后一年内自杀。9名患者在住院期间企图自杀，10名在出院后一年内企图自杀。在那一年中，近三分之一（215名）的患者因急性精神分裂症症状复发而再次入院；其中84名有严重的抑郁症状。该研究还提供了这些患者自杀原因的相关线索。
