A prospective study of the psychopathological variables associated with suicidality among schizophrenic patients

Abstract

Introduction. This study aimed to of identify the psychopathological profile of suicidal schizophrenic patients during a period of stability, thereby helping to define the trait aspect of these variables.

Method. Consecutively admitted schizophrenic patients fulfilling criteria for suicidala and non-suicidal groups were assessed at baseline and one year later for sociodemographic, general clinical and psychopathological features, by the positive and negative subscales of the Positive and Negative Syndromes Scale (PANSS), Calgary Depression Scale, Beck Hopelessness Scale and Amador Insight Scale (first three items).

Results. A total of 57 of 73 patients were available for re-evaluation. The suicidal group showed higher depression and hopelessness scores. Hopelessness and lower negative symptomatology identified most of the suicidal (66.7%) and non-suicidal (70%) patients. Hopelessness was the most important variable for identifying suicidality.

Conclusions. Under conditions of illness stability, this profile complements the acute phase profiles identified by most studies in the literature, and should foster improved risk recognition for targeting preventive interventions.