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This study aimed to; -
Suicide is a major public health concern. According to the World Health Organization (WHO), approximately one million people die by suicide each year worldwide. This statistic means that every 40 seconds, someone dies by suicide somewhere on the globe, with many more people making non-lethal suicide attempts. It has been suggested that the number of individuals who attempt suicide without causing death is about 10-15 times the number of those who die by suicide.
Schizophrenia is a severe psychiatric disorder characterized by cognitive impairment and behavioral dysfunction. Patients with schizophrenia are at an elevated risk of self-harm, suicide, and all-cause mortality, which results in a reduction of life expectancy of up to 20 years compared with the general population.
Suicide risk in schizophrenia is notably high, and early detection depends on recognizing and evaluating clinical manifestations of depression, despair, and hopelessness, as well as the nature and severity of the psychotic experience, particularly in recently diagnosed patients with higher cognitive function and educational backgrounds.
There is a lack of studies on suicidal behaviors in schizophrenic patients in Arab countries. A study on overall suicidality in Arab countries reported a lifetime suicide attempt rate of 0.72%-6.3% and a suicide ideation rate of 2.09%-13.9%. More research is needed in this area due to the societal and economic costs of suicidal behavior in schizophrenic patients. This issue is a high priority for public health. Several trials have aimed to identify valid predictors of suicide risk. These predictors could not only help reduce the mortality associated with suicidality but also enable a more rational allocation of resources for treatment. Previous suicide attempts, depressive symptoms, hopelessness, and akathisia have been identified as reliable predictors of suicidal behavior.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Patients with schizophrenia. They had a current history of suicide ideation or attempt. |
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| Group B | Patients with schizophrenia without any history of neither suicide ideation nor attempt. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) | Other | Psychiatric interview for diagnosis of schizophrenia by SCID 5 (American Psychiatric Association, 2015), The Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) is a semi structured interview guide for making the major DSM-5 diagnoses using the chapter of schizophrenia spectrum |
| Measure | Description | Time Frame |
|---|---|---|
| Severity of Suicidal Ideation | Assessed using the Arabic version of the Beck Scale for Suicide Ideation (BSS), which includes 21 statement groups rated on a 3-point scale. The total score ranges from 0 to 38, with higher scores indicating more severe suicidal ideation. | Within 1 week prior to assessment |
| Measure | Description | Time Frame |
|---|---|---|
| Severity of Schizophrenia Symptoms | Measured using the Positive and Negative Syndrome Scale (PANSS), which assesses positive, negative, and general psychopathology symptoms. Higher scores reflect greater symptom severity. | Within 7 days |
| Severity of Depressive Symptoms |
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Inclusion Criteria:
Exclusion Criteria:
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This cross-sectional study was carried out on patients diagnosed with schizophrenia recruited from inpatient and outpatient services of the Department of Neuropsychiatry and Center of Psychiatry, Neurology, Tanta University Hospitals, Egypt.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tanta University | Tanta | El-Gharbia | 31527 | Egypt |
The data will be available upon a reasonable request from the corresponding author after the end of study for one year.
After the end of study for one year.
The data will be available upon a reasonable request from the corresponding author.
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Measured using the Arabic version of the Hamilton Depression Rating Scale (HDRS-17). Total scores classify depression as mild, moderate, severe, or very severe. |
| Within 7 days |