Interventions to prevent suicidal behaviour in individuals with psychotic disorder

 
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Presentation First Author: 
Merete Nordentoft
Abstract: 

Introduction: Suicide rates among people with psychotic disorders are 20 fold higher than among people in the general population. Methods and results: Meta analyses of suicide risk in schizophrenia are mentioned and risk factors for suicide in schizophrenia are reviewed. Danish population registers were used to determine a long term cumulated risk of suicide of four percent for women and six percent for men. Two high risk periods for suicide were identified: shortly after admission and shortly after discharge. Suicide risk in schizophrenia decreased with the same speed as the decrease in the general population, and in Denmark the suicide risk in schizophrenia decreased each year since 1981. Suicide risk among inpatients and outpatients has decreased during last decade. Risk factors for suicide in schizophrenia were previous depressive disorders, previous suicide attempts, drug misuse, agitation or motor restlessness, fear of mental disintegration, poor adherence to treatment, and recent loss. Conclusion: Suicide among people with psychotic disorders is an important clinical and public health problem. Risk of suicide is highest shortly after admission and shortly after discharge. Increased attention should be paid to assessing suicide risk in these two high risk periods and to measures that hopefully can influence the high risk. Assessment of suicide risk and outpatient treatment immediately after discharge is of particular importance.

Conference Name: 
Presentation Date: 
January, 2015
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