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Suicide attempts among patients with psychosis in a Chinese rural community

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Ran M-S, Chan C-L-W, Xiang M-Z, Wu Q-H. Suicide attempts among patients with psychosis in a Chinese rural community.

Acta Psychiatr Scand 2003: 107: 430–435. © Blackwell Munksgaard 2003. Objective: 

To explore the characteristics of psychotic patients with suicide attempts in a Chinese rural community. Method: 

An epidemiological investigation of psychotic patients with suicide attempts among 123 572 population (over 15 years of age) was conducted in Xinjin County, Chengdu. Results: 

The rate of suicide attempts was found to be 8.17% among all the psychotic patients (906 cases). Patients with affective psychosis showed a significantly higher rate of suicidal attempts (15.3%) than those with schizophrenia (7.5%) (P < 0.005). Suicide attempts were significantly associated with depression and hopelessness in both schizophrenia and affective psychosis (P < 0.001). Patients with suicide attempts were younger and had an earlier age of onset than those without suicide attempts (P < 0.05). Patients with schizophrenia and affective disorders were the major patients with suicide attempts. Conclusion: 

The rate of suicide attempts in psychotic patients may be largely influenced by the illness itself. Community-based services should be necessary for these patients.
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Keywords: Chinese; characteristics; epidemiology; mental disorders; suicide

Document Type: Research Article

Affiliations: 1: Department of Social Work and Social Administration, and Center of Suicide Research and Prevention, The University of Hong Kong, Pokfulam Road, Hong Kong, China, and 2: Institute of Mental Health, West China Hospital, West China Medical School of Sichuan University, Chengdu, Sichuan, China

Publication date: 2003-06-01

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