The authors examined the clinical characteristics of suicide victims with schizophrenia in the general population of Finland.
As part of the nationwide National Suicide Prevention Project in Finland, all suicides over a 12-month period of persons with DSM-III-R schizophrenia where investigated by using the psychological autopsy method.
Clinical characteristics and their variation with age, sex, and illness duration were examined.
Among all suicide victims, 7% (N=92) were identified as having suffered schizophrenia.
Suicides occurred throughout the course of schizophrenia.
Both active illness (78%) and depressive symptoms (64%) were highly prevalent immediately before suicide, and a history of suicide attempts (71%) was also common.
Women were more likely than men to have committed suicide during an acute exacerbation of the illness.
Marked variation in depressive symptoms, alcoholism, and suicide methods was found among sexes and age groups.
Alcoholism was most common among middle-aged men (45%), whereas midddle-aged women had a high rate of depressive symptoms (88%). Younger male subjects most often used violent suicide methods.
Suicide may occur at any point during the course of schizophrenia.
The results indicate clinically important variation in depression, alcoholism, and suicide methods among suicide victims with schizophrenia. (...)
Mots-clés Pascal : Schizophrénie, Evolution, Facteur risque, Suicide, Symptomatologie, Age, Sexe, Antécédent, Epidémiologie, Santé mentale, Finlande, Europe, Homme, Psychose
Mots-clés Pascal anglais : Schizophrenia, Evolution, Risk factor, Suicide, Symptomatology, Age, Sex, Antecedent, Epidemiology, Mental health, Finland, Europe, Human, Psychosis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0097378
Code Inist : 002B18C11. Création : 22/06/1998.