ABSTRACT

Background

Suicide is a leading cause of preventable death among adults diagnosed with schizophrenia spectrum disorders. Fewer studies have examined suicide thoughts and behaviors among community populations of adults with psychosis symptoms. The current study examined the relationships between psychosis symptomatology, depression, and suicide ideation and plan among a sample of adults in psychiatric emergency care.

Methods

An Electronic Medical Record Search Engine was used to obtain data from Psychiatric Emergency Services (PES) of an academic healthcare system in the United States. Patients included 712 adults who presented to PES from 2013 to 2020 with one or more symptom of psychosis and either suicide ideation or a recent suicide attempt. Data were examined in SPSS27 using logistic regressions.

Results

Patients were twice as likely to experience suicidal ideation when hallucinations were present and eight times more likely when depression was present. Also, patients were twice as likely to have a suicide plan when hallucinations were present and three-times more likely when depression was present. Delusions did not significantly relate to suicide ideation or plan.

Discussion

Study findings suggest the importance of incorporating positive symptom evaluations into suicide risk assessments and the formulation of risk among patients with psychosis symptoms.

中文翻译：

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精神科急诊中出现精神病的成年人的幻觉、妄想、抑郁、自杀意念和计划之间的关系

摘要

背景

自杀是被诊断患有精神分裂症谱系障碍的成年人可预防死亡的主要原因。很少有研究调查有精神病症状的社区人群中的自杀想法和行为。目前的研究检查了精神科急诊护理中成人样本中精神病症状、抑郁和自杀意念和计划之间的关系。

方法

使用电子病历搜索引擎从美国学术医疗保健系统的精神病紧急服务 (PES) 获取数据。患者包括 2013 年至 2020 年在 PES 就诊的 712 名成年人，他们有一种或多种精神病症状以及自杀意念或最近的自杀企图。使用逻辑回归在 SPSS27 中检查数据。

结果

当存在幻觉时，患者出现自杀意念的可能性是其两倍，而在存在抑郁症时，这种可能性是其八倍。此外，当存在幻觉时，患者有自杀计划的可能性是前者的两倍，而当存在抑郁症时，这种可能性是后者的三倍。妄想与自杀意念或计划没有显着相关。

讨论

研究结果表明将阳性症状评估纳入自杀风险评估和精神病症状患者风险制定的重要性。