A Study of Suicidal and Non-Suicidal Self Injurious Behavior in Persons Suffering from Sczhizophrenia

Ramya, V (2019) A Study of Suicidal and Non-Suicidal Self Injurious Behavior in Persons Suffering from Sczhizophrenia. Masters thesis, Madras Medical College, Chennai.


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INTRODUCTION: Schizophrenia is a major mental illness affecting general population. Next to major depression, schizophrenia has the higher rate of suicide. Many sub lethal attempts of Non suicidal self injurious behavior are also made by the patients which are independent risk factors for future suicidality. Hence it is important to know the epidemiology, prevalence and various risk factors for suicide and non suicidal self injurious behavior. MATERIALS AND METHODS: 100 consecutive patients suffering from schizophrenia diagnosed based on ICD 10 were assessed cross sectionally with socio demographic proforma and standard assessment tools such as Beck’s suicide intent scale, Deliberate self harm inventory questionnaire, Columbia suicide severity rating scale, Positive and negative syndrome scale and Barratt impulsivity rating scale. RESULTS: Suicide attempts and NSSI were found to be higher in our study subjects. These self injurious behaviors were not significantly related to any socio demographic factors and illness related factors except for occupation, religion and impulsivity. Suicide attempts were most commonly secondary to delusion and depression. Symptom severity of schizophrenia, in particular PANSS + was found to be correlated with active death wishes, suicidal thoughts and suicidal intent. CONCLUSION: Individuals having schizophrenia are at high risk of suicide attempts and NSSI especially when they are accompanied by positive symptoms. Hence more attention should be given to identify and effectively treat active psychopathology even during follow up visits. Assessing non suicidal self injurious behavior should also become a part of standard suicide risk assessment in schizophrenia patients.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Suicide attempts, NSSI, schizophrenia.
Subjects: MEDICAL > Psychiatry
Depositing User: Subramani R
Date Deposited: 19 Aug 2019 01:02
Last Modified: 19 Aug 2019 01:02
URI: http://repository-tnmgrmu.ac.in/id/eprint/10968

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