Depression, Hopelessness and Suicide in Chronic Schizophrenia

British Journal of Psychiatry - Tập 148 Số 5 - Trang 554-559 - 1986
Robert E. Drake1, Paul Cotton2
1Community Mental Health Services, Dartmouth Medical School, Hanover, New Hampshire, USA
2Harvard Medical School, Medical Director, Pembroke Hospital, Pembroke, Massachusetts, USA

Tóm tắt

Hospital records for 104 schizophrenic patients, 15 of whom subsequently committed suicide, were rated blindly for individual depressive symptoms comprising DSM III major depressive episode, and for hopelessness. Our results indicate that a large proportion of schizophrenic patients experienced major depressive episodes, and that these can be reliably identified. Presuicidal schizophrenics also experienced depressed mood, but only a minority developed the full syndrome; they typically exhibited the psychological, but not somatic symptoms. The relationship between depression and suicide disappears when hopelessness is taken into account.

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