NHẬN XÉT MỘT SỐ YẾU TỐ NGUY CƠ HÀNH VI TỰ SÁT Ở BỆNH NHÂN TÂM THẦN PHÂN LIỆT

Abstract

Objective: To comment some risk factors for suicidal behavior in patients with schizophrenia. Subjects and methods: Using a cross-sectional descriptive method, analyzing risk factors for suicidal behavior by directly interviewing schizophrenic patients and their relatives who were treated as inpatients at the National Institute of Mental Health - Bach Mai Hospital. Results: There were 36 patients with suicidal behavior out of 177 schizophrenic patients studied, accounting for 20.3%. Analyzing 36 patients with suicidal behavior, we found that: patients with a history of suicidal ideation, a history of suicide attempts were 27.4 and 20.24 times higher at risk of suicidal behavior, respectively; patients who did not comply with treatment were 4.01 times higher at risk of suicidal behavior; patients with auditory hallucinations and delusions were 2.37 and 1.42 times higher at risk of suicide, respectively; The study results did not find statistically significant differences in gender, age group, education level and duration of illness. Conclusion: Some high risk factors for suicidal behavior in schizophrenic patients are: history of suicidal ideation and attempts; non-compliance with treatment, symptoms of auditory hallucinations, delusions, the highest risk is in patients with a history of suicidal ideation and attempts.