Journal List > J Korean Acad Psychiatr Ment Health Nurs > v.23(4) > 1058019

Kim and Jun: Factors related to Suicidal Ideation in People with Schizophrenia and Suicide Attempts

Abstract

Purpose

The purpose of this study was to explore factors which contribute to suicidal ideation in people with schizophrenia who have experienced at least one suicide attempts.

Methods

The participants for this study were 138 people with schizophrenia who had made attempts at suicide. Data were collected from April 15 to May 7, 2014 using self-report questionnaires which included questions on Suicidal Ideation, Self-Esteem, Depression, Family Support and the Internalized Stigma Inventory. Data were analyzed using t-test, ANOVA, Pearson correlation coefficients, and hierarchical regression with the SPSS/WIN 18.0 program.

Results

The average score of suicidal ideation in the patients with schizophrenia who had experienced suicide attempts was 12.2±6.08. Factors which predicted suicidal ideation in these patients included self-esteem, depression and suicide attempts and these factors explained 44.0% of the variance in suicidal ideation.

Conclusion

The results indicate that development and application of intervention programs, which can help to increase self-esteem levels and decrease depression levels among patients schizophrenia that have experienced suicidal attempts is a first priority.

Figures and Tables

Table 1
Comparison of Suicidal Ideation Score according to the Subjects' Characteristics (N=138)
jkapmhn-23-259-i001
Table 2
Mean Score of Major Variables in Schizophrenia patients with Suicidal Attempts (N=138)
jkapmhn-23-259-i002
Table 3
Correlations of Depression, Self-esteem, Internalized Stigma, Family Support and Suicidal Ideation in Schizophrenia Patients with Suicidal Attempts (N=138)
jkapmhn-23-259-i003
Table 4
Factors influencing of Suicidal Ideation in Schizophrenia Patients with Suicidal Attempts (N=138)
jkapmhn-23-259-i004

Dummy variables: Residential status (living alone=0, living wit family=1), Physical illness (no=0, yes=1), Suicidal attempts (only one time=0, more than 2 times=1).

Notes

This work was supported by a 2-Year Research Grant of Pusan National University.

References

1. Tandon R, Keshavan MS, Nasrallah HA. Schizophrenia "just the facts" what we know in 2008. 2. epidemiology and etiology. Schizophr Res. 2008; 102(1-3):1–18. http://dx.doi.org/10.1016/j.schres.2008.04.011.
crossref
2. Saha S, Chant D, McGrath J. A systematic review of mortality in schizophrenia: is the differential mortality gap worsening over time? Arch Gen Psychiatry. 2007; 64(10):1123–1131. http://dx.doi.org/10.1001/archpsyc.64.10.1123.
3. Palmer BA, Pankratz VS, Bostwick JM. The lifetime risk of suicide in schizophrenia: a reexamination. Arch Gen Psychiatry. 2005; 62(3):247–253. http://dx.doi.org/10.1001/archpsyc.62.3.247.
4. Tidemalm D, Långström N, Lichtenstein P, Runeson B. Risk of suicide after suicide attempt according to coexisting psychiatric disorder: Swedish cohort study with long term follow-up. BMJ. 2008; 337:a2205. http://dx.doi.org/10.1136/bmj.a2205.
crossref
5. Perenyi A, Forlano R. Suicide in schizophrenia. Neuropsychopharmacol Hung. 2005; 7(3):107–117.
6. Sadock BJ, Sadock VA. Suicide: in Kaplan and Sadock's synopsis of psychiatry behavioral sciences. 9th ed. Lippincott: Williams & Wilkins Phil;2003. p. 916.
7. Tarrier N, Barrowclough C, Andrews B, Gregg L. Risk of non-fatal suicide ideation and behaviour in recent onset schizophrenia; the influence of clinical, social, self-esteem and demographic factors. Soc Psychiatry Psychiatr Epidemiol. 2004; 39(11):927–937. http://dx.doi.org/10.1007/s00127-004-0828-3.
crossref
8. Lee EJ. A study on the effect of social support on mental health disorder's suicidal ideation [master's thesis]. [Seoul]: Catholic University;2009. 88.
9. Han KS, Park YH, Im HS, Ju GY, Bae MH, Kang HC. Hope, depression and suicidal ideation in chronic mental illness patients. J Korean Acad Psychiatr Ment Health Nurs. 2010; 19(2):205–211.
crossref
10. Bhar S, Ghahramanlou-Holloway M, Brown G, Beck AT. Self-esteem and suicide ideation in psychiatric outpatients. Suicide Life Threat Behav. 2008; 38(5):511–516. http://dx.doi.org/10.1521/suli.2008.38.5.511.
crossref
11. Han IY, Lee EJ, Kim SY. A comparative study of suicide attempters and non-attempters registered in mental health center. Ment Health Soc Work. 2013; 41(4):201–226.
12. Seo SY, Kim HS, Kim YT. Factors influencing suicidal ideation in people with mental disorder. J Korean Acad Community Health Nurs. 2013; 24(2):245–254. http://dx.doi.org/10.12799/jkachn.2013.24.2.245.
crossref
13. Kim HJ, Nam HK. A study of community psychiatric mental health nurse's activity. J Korean Acad Psychiatr Ment Health Nurs. 2007; 16(4):489–501.
14. Yoon MS, Chae WS. The process of schizophrenics' overcoming after attempted suicide. Ment Health Soc Work. 2009; 33(12):218–256.
15. Hawton K, Sutton L, Haw C, Sinclair J, Deeks JJ. Schizophrenia and suicide: systematic review of risk factor. Br J Psychiatry. 2005; 187:9–20. http://dx.doi.org/10.1192/bjp.187.1.9.
crossref
16. Carlborg A, Winnerback K, Jonsson EG, Jokinen J, Nordstrom P. Suicide in schizophrenia. Expert Rev Neurother. 2010; 10(7):1153–1164.
crossref
17. Park JH. Development and evaluation of a crisis intervention program for suicide attempters. J Korean Acad Psychiatr Ment Health Nurs. 2013; 22(4):368–376. http://dx.doi.org/10.12934/jkpmhn.2013.22.4.368.
crossref
18. Kim MY, Jun SS, Kim KH. Associated factors of suicidal ideation in community residents with suicidal attempt experiences. J Korean Acad Community Health Nurs. 2013; 24(2):135–142. http://dx.doi.org/10.12799/jkachn.2013.24.2.135.
crossref
19. Ritsher JB, Phelan JC. Internalized stigma predicts erosion of morale among psychiatric outpatients. Psychiatry Res. 2004; 129(3):257–265. http://dx.doi.org/10.1016/j.psychres.2004.08.003.
crossref
20. Beck AT, Kovacs M, Weissman A. Assessment of suicide intention: the scale for suicide ideation. J Consult Clin Psychol. 1979; 47(2):343–352. http://dx.doi.org/10.1037/0022-006X.47.2.343.
21. Shin MS, Park KB, Oh KJ, Kim ZS. A study of suicidal ideation among high school students: the structural relation among depression, hopelessness, and suicidal ideation. Korean J Clin Psychol. 1990; 9(1):1–19.
22. Rosenberg M. Society and the adolescent self-image. England: Princeton University Press;1965. p. 347.
23. Jeon BJ. Self-esteem: a test of it's measurability. Yonsei Nonchong. 1974; 11:107–129.
24. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961; 4(6):561–571.
crossref
25. Hahn HM, Yum TH, Shin , YW , Kim KH, Yoon DJ, Chung KJ. A standardization study of Beck Depression Inventory in Korea. J Korean Neuropsychiatr Assoc. 1986; 25(3):487–500.
26. Cobb S. Social support as a moderator of life stress. Psychosom Med. 1976; 38:300–314.
crossref
27. Kwang WK. A study relationship life satisfaction according to the family support and family function the mentally handicapped perceives. [master's thesis]. [Seoul]: Ewha Womans University;2002. 81.
28. Hwang TY, Lee WK, Han ES, Kwon EJ. A study on the reliability and validity of the korean version of internalized stigma of mental illness scale(K-ISMI). J Korean Neuropsychiatr Assoc. 2006; 45(5):418–426.
29. Greenberg PE, Kessler RC, Bimbaum HG, Leong SA, Lowe SW, Berglund PA, et al. The economic burden of depression in the united states: how did it change between 1990 and 2000? J Clin Psychiatry. 2003; 64(12):1465–1475.
30. Kim MY, Jun SS. Factors affecting internalized stigma of patient with schizophrenia. J Korean Acad Psychiatr Ment Health Nurs. 2012; 21(2):108–117. http://dx.doi.org/10.12934/jkpmhn.2012.21.2.108.
crossref
TOOLS
Similar articles