Davis Supriya, Patil Jaideep, Aziz Sadaf, Chaudhury Suprakash, Saldanha Daniel
Department of Psychiatry, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Dr. D.Y. Patil Vidyapeeth, Pune, Maharashtra, India.
Ind Psychiatry J. 2021 Oct;30(Suppl 1):S230-S234. doi: 10.4103/0972-6748.328868. Epub 2021 Oct 22.
Suicide/parasuicide is seen at a greater rate in schizophrenia than in the general population, yet the psychological basis of this risk is poorly understood. It is estimated that 10% of patients suffering from schizophrenia attempt suicide. The major risk factors implicated are male gender, chronic illness with multiple relapses, family history of suicide, past suicidal and impulsive behavior, negative attitude toward treatment, and concurrent substance use. Treatment must target the identified risk factors for prevention of suicide in these patients. Here, we discuss three cases with self-inflicted cuts over the anterior aspect of the neck and wrists. They were diagnosed to have paranoid schizophrenia and were treated with antipsychotics, on which they showed improvement.
与普通人群相比,精神分裂症患者中自杀/准自杀的发生率更高,然而这种风险的心理基础却知之甚少。据估计,10%的精神分裂症患者曾试图自杀。主要的风险因素包括男性、慢性疾病伴多次复发、自杀家族史、既往自杀和冲动行为、对治疗的消极态度以及并发物质使用。治疗必须针对这些已确定的风险因素,以预防这些患者自杀。在此,我们讨论三例颈部和腕部前侧有自伤切口的病例。他们被诊断为偏执型精神分裂症,并接受了抗精神病药物治疗,治疗后病情有所改善。