TY - JOUR
T1 - Suicidal behavior and related traits among inpatient adolescents with first-episode schizophrenia
AU - Shoval, Gal
AU - Feld-Olspanger, Joy
AU - Nahshoni, Eitan
AU - Gothelf, Doron
AU - Misgav, Sagit
AU - Manor, Iris
AU - Apter, Alan
AU - Zalsman, Gil
N1 - Funding Information:
Funding of this study was provided by the Judie and Marshall Polk Research Fund for Children at Risk . The authors wish to thank Mrs Cindy Cohen for English and scientific editing.
PY - 2011/11
Y1 - 2011/11
N2 - Purpose: Suicide is a major cause of death in adolescents with first-episode schizophrenia (FES). The aim of this pilot study was to compare suicide-related traits between subjects with FES and those with other psychopathologies to evaluate risk factors for suicidal behavior. Method: Twenty-five inpatient adolescents with FES and a control group of 28 psychiatric inpatients matched for sex and age were assessed for depression, anger, criminal behavior, aggression, and suicidal ideation, risk, and potential. Results: The adolescents with FES had significantly lower depression (P =.003), anger (P =.025), and criminal behavior (P =.022) than did the controls. However, although suicide ideation was greater in the subjects with FES (P =.003), suicide risk was significantly lower than that in controls (P =.004). Conclusion: Decreased levels of both depression and anger as part of affective constriction in the group with schizophrenia could explain why the increased suicide ideation did not lead to a higher suicide risk in these inpatients. This study highlights the importance of distinguishing between suicidal ideation and actual suicide risk. We demonstrated that thoughts of suicide do not necessarily translate into an actual risk of suicidal behavior in adolescents with schizophrenia.
AB - Purpose: Suicide is a major cause of death in adolescents with first-episode schizophrenia (FES). The aim of this pilot study was to compare suicide-related traits between subjects with FES and those with other psychopathologies to evaluate risk factors for suicidal behavior. Method: Twenty-five inpatient adolescents with FES and a control group of 28 psychiatric inpatients matched for sex and age were assessed for depression, anger, criminal behavior, aggression, and suicidal ideation, risk, and potential. Results: The adolescents with FES had significantly lower depression (P =.003), anger (P =.025), and criminal behavior (P =.022) than did the controls. However, although suicide ideation was greater in the subjects with FES (P =.003), suicide risk was significantly lower than that in controls (P =.004). Conclusion: Decreased levels of both depression and anger as part of affective constriction in the group with schizophrenia could explain why the increased suicide ideation did not lead to a higher suicide risk in these inpatients. This study highlights the importance of distinguishing between suicidal ideation and actual suicide risk. We demonstrated that thoughts of suicide do not necessarily translate into an actual risk of suicidal behavior in adolescents with schizophrenia.
UR - http://www.scopus.com/inward/record.url?scp=80054691709&partnerID=8YFLogxK
U2 - 10.1016/j.comppsych.2011.01.005
DO - 10.1016/j.comppsych.2011.01.005
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C2 - 21388617
AN - SCOPUS:80054691709
SN - 0010-440X
VL - 52
SP - 596
EP - 599
JO - Comprehensive Psychiatry
JF - Comprehensive Psychiatry
IS - 6
ER -
