The Effects of Mental Fitness, Social Support and Psychological Distress on Suicidal Idea of People with Schizophrenia Using Community Mental Health Services

Dong-Dae Seo; Kyeong-Suk Choi; Wu-Ri Park; Mi-Rim Lee; Do-Yun Kim; Je-Chun Yu

doi:10.4306/jknpa.2014.53.6.364

Journal List > J Korean Neuropsychiatr Assoc > v.53(6) > 1017700

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Seo, Choi, Park, Lee, Kim, and Yu: The Effects of Mental Fitness, Social Support and Psychological Distress on Suicidal Idea of People with Schizophrenia Using Community Mental Health Services

Original Article

Journal of Korean Neuropsychiatric Association 2014; 53(6): 364-369.

Published online: 30 November 2014

DOI: https://doi.org/10.4306/jknpa.2014.53.6.364

The Effects of Mental Fitness, Social Support and Psychological Distress on Suicidal Idea of People with Schizophrenia Using Community Mental Health Services

Dong-Dae Seo, MD¹, Kyeong-Suk Choi, MD, PhD¹, Wu-Ri Park, MD¹, Mi-Rim Lee, PhD², Do-Yun Kim, PhD³, Je-Chun Yu, MD¹

¹Department of Psychiatry, Eulji University School of Medicine, Eulji University Hospital, Daejeon, Korea.

²Department of Social Welfare, Hannam University, Daejeon, Korea.

³Chungcheongnam-do Mental Health Center, Hongseong, Korea.

Address for correspondence: Je-Chun Yu, MD. Department of Psychiatry, Eulji University School of Medicine, Eulji University Hospital, 95 Dunsanseo-ro, Seo-gu, Daejeon 302-799, Korea. Tel +82-42-611-3442, Fax +82-42-611-3445, jcyu@eulji.ac.kr

Received 9 June 2014 Revised 30 June 2014 Accepted 17 September 2014

Abstract

Objectives

The objective of this study was to analyze the relationships of psychological distress, social support, mental fitness and suicidal idea among patients of chronic schizophrenia using community mental health services.

Methods

This study was conducted in patients who visited the mental health services in Daejeon from October to December 2011. In total, 395 chronic schizophrenic patients were evaluated using Mental Fitness Scale (MFS), Kessler Psychological Distress Scale (K10), and Multidimensional Scale of Perceived Social Support (MSPSS).

Results

Results showed that 37% (n=146) of patients had suicidal ideas and 63% (n=249) of patients did not have suicidal ideas. The group that had suicidal ideas showed significantly lower scores on MFS, K10, and MSPSS than the group with no suicidal ideas (p=0.000). Logistic regression analysis showed a significantly lower score on MFS, K10 for the suicidal ideation group than the group with no suicidal ideas.

Conclusion

These results suggest that health care providers should consider mental fitness and psychological distress, in order to prevent suicidal idea of schizophrenic patients.

Keywords: Mental fitness, Social support, Psychological distress, Suicidal idea, Schizophrenia

Figures and Tables

Table 1

Demographic and clinical characteristics of the subjects

Table 2

Comparison of the two patients groups on MFS, K10 and MSPSS

MFS : Mental Fitness Scale, K10 : Kessler Psychological Distress Scale, MSPSS : Multidimensional Scale of Perceived Social Support

Table 3

Logistic regression analyses : sex, age, family characteristics and income influencing suicidal idea of schizophrenic patients

MFS : Mental Fitness Scale, K10 : Kessler Psychological Distress Scale, MSPSS : Multidimensional Scale of Perceived Social Support, SE : Standard error, OR : Odds ratio, CI : Confidence interval

Notes

The authors have no financial conflicts of interest.

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