Indian Journal of PsychiatryIndian Journal of Psychiatry
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Year : 2021  |  Volume : 63  |  Issue : 2  |  Page : 179-183

Suicidal ideation in schizophrenia: A cross-sectional study in a tertiary mental hospital in North-East India

1 Department of Psychiatry, Institute of Medical Sciences (IMS), Banaras Hindu University, Varanasi, Uttar Pradesh, India
2 Department of Psychiatry, LGB Regional Institute of Mental Health, Tezpur, Assam, India
3 Department of Psychiatry, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Maharashtra, India
4 Centre for Addiction Medicine, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India
5 Narayan Neuropsychiatry Clinic, Varanasi, Uttar Pradesh, India

Correspondence Address:
Santanu Nath
Department of Psychiatry, Institute of Medical Sciences (IMS), Banaras Hindu University, Varanasi - 221 005, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/psychiatry.IndianJPsychiatry_130_19

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Introduction: Suicide is a leading cause of mortality in schizophrenia. The study attempts to find an association of suicidal ideation, a less studied entity than suicide attempt, with various sociodemographic and clinical profiles in patients with schizophrenia. Materials and Methods: It is a cross-sectional study involving 140 patients diagnosed as schizophrenia. Sociodemographic and clinical profiles were collected using a semi-structured proforma. Positive and Negative Syndrome Scale, Calgary Depression Scale for Schizophrenia, InterSePT Scale for Suicidal Thinking, and Drug Attitude Inventory-10 were applied to assess psychopathology, depressive symptoms, suicidal ideas, and attitude toward psychotropics, respectively. The analysis was done using appropriate statistics. Results: Majority of the study sample were Hindus, male, unmarried, literate, unemployed, and belonging from lower socioeconomic class. About 25.7% attempted suicide earlier and 29.3% currently have suicidal ideation. A previous suicide attempt, family history of psychiatric illness and that of suicide and comorbid substance use, significantly predicted (p < 0.05) a current suicidal ideation. Ideation has also been found to be significantly correlated to comorbid depression and the positive, negative, emotional, and excitement domains of schizophrenic psychopathology. Conclusion: The current study shows suicidal ideations in schizophrenia patients to be significantly related to schizophrenic psychopathology and comorbid depression, thus calling for a holistic management in preventing a fatal outcome.



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