Open AccessRates and Risk Factors for Suicide Ideas among Schizophrenia Patients in Indonesia
Author(s) -
Nurmiati Amir,
Ronald Antoni,
Asmarahadi Asmarahadi,
Prianto Djatmiko,
Siti Khalimah,
Safyuni Naswati,
Gerald M. Semen,
Presetyawan Prasetyawan,
Widayanti Dewi Wulandari
Publication year - 2019
Publication title -
open access macedonian journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.288
H-Index - 17
ISSN - 1857-9655
DOI - 10.3889/oamjms.2019.393
Subject(s) - medicine , schizophrenia (object oriented programming) , family history , psychiatry , delusion , suicide prevention , alcohol abuse , mental illness , logistic regression , poison control , clinical psychology , mental health , medical emergency
BACKGROUND: Schizophrenia is associated with a high rate of suicide.
AIM: Our study was aimed to identify the rates of suicide ideas in patients with schizophrenia as well as the risk factors associated with suicide ideas.
METHODS: As many as 1130 subjects were evaluated using the Indonesian version of Diagnosis Interview for Psychosis (DIP) to establish the diagnosis of schizophrenia. Subjects aged 18-65 years. The risk factors were socio-demographic data, mental disorder history in the family, clinical symptoms and clinical course of schizophrenia. Risk factors that have the strongest correlation with suicide ideas were analysed using multivariate logistic regression analysis.
RESULTS: About 6.1% of subjects reported suicide ideas in their life. The age of disease onset (p = 0.006), family history of schizophrenia (p = 0.013), poor concentration (p = 0.032), loss of enjoyment (p = 0.000), guilty feeling (p = 0.000), family history of mental illness (p = 0.000), nihilistic delusion (p = 0.001) and alcohol abuse (p = 0.000) were significantly associated with suicide ideas.
CONCLUSION: Suicide idea is quite common in people with schizophrenia. Evaluation and management of risk factors associated with suicide ideas should be performed to prevent suicide attempts or death. Suicide ideas and risk factors can become clinical parameters in the instrument of suicide prevention.