Summary: | Schizophrenia is severe endocrine, psychiatric disorder, which affects 1% of the world population (1). Schizophrenia is one of the major risk factors for suicide behavior and suicide, while suicide is the main reason of premature death of persons with schizophrenia The aim of the study was to analyze suicide attempts methods in patients with schizophrenia admitted to hospital following suicide attempt, in order to grade the lethality of the attempts. The retrospective study included 120 patients of both sexes aged 18-65 years having being diagnosed with schizophrenia (F 20.0 - F 20.9) and admitted to Psychiatric clinic ,,Dr Laza Lazarević' in Belgrade in the period 2009-2012 following failed suicide attempt. We used descriptive statistical methods to analyze primary data, including testing statistical hypothesis. We have defined 10 methods of failed suicide attempts in 120 patients we examended. The most common method of failed suicide attempt was by drug overdose, we have registered in 39 patients (32,5%). More lethal means were used by 23 (19,2%) patients, while less lethal means were used by 97 (80,8%)patients. Statistically significant risk factors for repeated suicide attempt were: lower level of educational attainment (B=-0,301; p=0,038) examining addiction and the relationship between outcomes and potential predictors ment status [unemployed (B=-0,594; p=0,031) compare to pensioners as reference category ],whose ration of chances is family history of suicide (B=0,856; p=0,003) whose ration of chances is and actual pessimism (B=0,099; p<0,001), whose ration of chance is. Following international and local literature review on suicides we observed that methods of committed suicide and suicide attempts have not been given appropriate attention. Our observation is also supported by other authors (19). The response to many questions is required related to these significant variables. Understanding and predicting those variables can be of significant importance for suicide prevention in persons with mental disorders and beyond. More frequent are less lethal means of suicide when compared to more lethal ones. Pessimism, aggressive behavior correlate with more lethal means of suicide and with number of previous suicide attempts. Pessimism combined with prolonged mental disorder, number of hospital admissions, family history of suicide, lower level of educational attainment and unemployed are statistically significant predictors for repeated suicide attempt.
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