Suicidal ideation in Chinese patients with chronic schizophrenia: prevalence, clinical correlates, and relationship with alexithymia
Suicidal ideation (SI) is common among people with schizophrenia. However, it has received less attention than suicide attempts (SA), especially in the Chinese population. Alexithymia is a well-established risk factor for SI across different populations. Nevertheless, very few studies evaluated thei...
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| Veröffentlicht in: | European archives of psychiatry and clinical neuroscience 2024-10, Vol.274 (7), p.1509-1516 |
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| creator | Zhou, Yanan Peng, Pu Yuan, Ning Xiong, Yifan Luo, Yinli Liu, Lini Tan, Rongrong Nie, Wei Wang, Yuan Zhang, Xiangyang |
| description | Suicidal ideation (SI) is common among people with schizophrenia. However, it has received less attention than suicide attempts (SA), especially in the Chinese population. Alexithymia is a well-established risk factor for SI across different populations. Nevertheless, very few studies evaluated their relationship in schizophrenia patients. We aimed to determine the prevalence and clinical correlates of SI and its relationship with alexithymia in 812 Chinese chronic schizophrenia inpatients. We assessed SI, clinical symptoms, and alexithymia by the Beck Scale for Suicidal Ideation, the Positive and Negative Syndrome Scale (PANSS), and the Toronto Alexithymia Scale, respectively. A multiple logistic regression model was conducted to identify independent correlates of SI. Receiver operating characteristic (ROC) curves and area under the curve (AUC) were performed to determine the ability of our model to distinguish between patients with and without SI. 10% (
n
= 84) reported current SI. Lifetime SA (OR, 4.68; 95% CI 2.76–7.94,
p
|
| doi_str_mv | 10.1007/s00406-023-01630-w |
| format | Article |
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n
= 84) reported current SI. Lifetime SA (OR, 4.68; 95% CI 2.76–7.94,
p
< 0.001), PANSS depressive factor (OR, 1.24; 95% CI 1.12–1.38,
p
< 0.001), PANSS positive subscale (OR, 1.055; 95% CI 1.004–1.108,
p
= 0.035), and difficulty identifying emotions (OR, 1.07; 95% CI 1.03–1.12,
p
= 0.002) were associated with SI. The AUC value was 0.80, indicating excellent distinguishing capabilities. Timely assessments of these factors may help identify schizophrenia patients who are at risk for SI.</description><identifier>ISSN: 0940-1334</identifier><identifier>ISSN: 1433-8491</identifier><identifier>EISSN: 1433-8491</identifier><identifier>DOI: 10.1007/s00406-023-01630-w</identifier><identifier>PMID: 37310424</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Affective Symptoms - epidemiology ; Alexithymia ; China - epidemiology ; Chronic Disease ; East Asian People ; Emotions ; Female ; Humans ; Male ; Medicine ; Medicine & Public Health ; Mental disorders ; Middle Aged ; Neurosciences ; Original Paper ; Population studies ; Prevalence ; Psychiatry ; Risk factors ; Schizophrenia ; Schizophrenia - epidemiology ; Suicidal behavior ; Suicidal Ideation ; Suicide ; Suicides & suicide attempts ; Young Adult</subject><ispartof>European archives of psychiatry and clinical neuroscience, 2024-10, Vol.274 (7), p.1509-1516</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-4ea884780681a583bc268e95469bf7ab7b2df28425c242b79e489cea7d4b6d113</citedby><cites>FETCH-LOGICAL-c375t-4ea884780681a583bc268e95469bf7ab7b2df28425c242b79e489cea7d4b6d113</cites><orcidid>0000-0003-3326-382X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00406-023-01630-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00406-023-01630-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37310424$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhou, Yanan</creatorcontrib><creatorcontrib>Peng, Pu</creatorcontrib><creatorcontrib>Yuan, Ning</creatorcontrib><creatorcontrib>Xiong, Yifan</creatorcontrib><creatorcontrib>Luo, Yinli</creatorcontrib><creatorcontrib>Liu, Lini</creatorcontrib><creatorcontrib>Tan, Rongrong</creatorcontrib><creatorcontrib>Nie, Wei</creatorcontrib><creatorcontrib>Wang, Yuan</creatorcontrib><creatorcontrib>Zhang, Xiangyang</creatorcontrib><title>Suicidal ideation in Chinese patients with chronic schizophrenia: prevalence, clinical correlates, and relationship with alexithymia</title><title>European archives of psychiatry and clinical neuroscience</title><addtitle>Eur Arch Psychiatry Clin Neurosci</addtitle><addtitle>Eur Arch Psychiatry Clin Neurosci</addtitle><description>Suicidal ideation (SI) is common among people with schizophrenia. However, it has received less attention than suicide attempts (SA), especially in the Chinese population. Alexithymia is a well-established risk factor for SI across different populations. Nevertheless, very few studies evaluated their relationship in schizophrenia patients. We aimed to determine the prevalence and clinical correlates of SI and its relationship with alexithymia in 812 Chinese chronic schizophrenia inpatients. We assessed SI, clinical symptoms, and alexithymia by the Beck Scale for Suicidal Ideation, the Positive and Negative Syndrome Scale (PANSS), and the Toronto Alexithymia Scale, respectively. A multiple logistic regression model was conducted to identify independent correlates of SI. Receiver operating characteristic (ROC) curves and area under the curve (AUC) were performed to determine the ability of our model to distinguish between patients with and without SI. 10% (
n
= 84) reported current SI. Lifetime SA (OR, 4.68; 95% CI 2.76–7.94,
p
< 0.001), PANSS depressive factor (OR, 1.24; 95% CI 1.12–1.38,
p
< 0.001), PANSS positive subscale (OR, 1.055; 95% CI 1.004–1.108,
p
= 0.035), and difficulty identifying emotions (OR, 1.07; 95% CI 1.03–1.12,
p
= 0.002) were associated with SI. The AUC value was 0.80, indicating excellent distinguishing capabilities. Timely assessments of these factors may help identify schizophrenia patients who are at risk for SI.</description><subject>Adult</subject><subject>Affective Symptoms - epidemiology</subject><subject>Alexithymia</subject><subject>China - epidemiology</subject><subject>Chronic Disease</subject><subject>East Asian People</subject><subject>Emotions</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental disorders</subject><subject>Middle Aged</subject><subject>Neurosciences</subject><subject>Original Paper</subject><subject>Population studies</subject><subject>Prevalence</subject><subject>Psychiatry</subject><subject>Risk factors</subject><subject>Schizophrenia</subject><subject>Schizophrenia - epidemiology</subject><subject>Suicidal behavior</subject><subject>Suicidal Ideation</subject><subject>Suicide</subject><subject>Suicides & suicide attempts</subject><subject>Young Adult</subject><issn>0940-1334</issn><issn>1433-8491</issn><issn>1433-8491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1P3DAQhq0KVBbaP8ABWeLCgdDxRxKnt2rFl4TEgfZsOc5sY5R1Ujthuz3zw3EJLRIHTiPbzzwezUvIIYMzBlB-iQASigy4yIAVArLNB7JgUohMyYrtkAVUEjImhNwj-zHeAwDLOXwke6IUDCSXC_J4NznrGtNR16AZXe-p83TZOo8R6ZBu0I-RbtzYUtuG3jtLo23dn35oA3pnvtIh4IPp0Fs8pbZziUg224eAnRkxnlLjG_p8SPbYumG2pZbfqW7XznwiuyvTRfz8Ug_Ij4vz78ur7Ob28nr57SazoszHTKJRSpYKCsVMrkRteaGwymVR1avS1GXNmxVXkueWS16XFUpVWTRlI-uiYUwckJPZO4T-14Rx1GsXLXad8dhPUXPF8zzttOIJPX6D3vdT8Gk6nVaXxgCuqkTxmbKhjzHgSg_BrU3Yagb6b0Z6zkinjPRzRnqTmo5e1FO9xuZ_y79QEiBmIKYn_xPD69_vaJ8A4V6erg</recordid><startdate>20241001</startdate><enddate>20241001</enddate><creator>Zhou, Yanan</creator><creator>Peng, Pu</creator><creator>Yuan, Ning</creator><creator>Xiong, Yifan</creator><creator>Luo, Yinli</creator><creator>Liu, Lini</creator><creator>Tan, Rongrong</creator><creator>Nie, Wei</creator><creator>Wang, Yuan</creator><creator>Zhang, Xiangyang</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3326-382X</orcidid></search><sort><creationdate>20241001</creationdate><title>Suicidal ideation in Chinese patients with chronic schizophrenia: prevalence, clinical correlates, and relationship with alexithymia</title><author>Zhou, Yanan ; Peng, Pu ; Yuan, Ning ; Xiong, Yifan ; Luo, Yinli ; Liu, Lini ; Tan, Rongrong ; Nie, Wei ; Wang, Yuan ; Zhang, Xiangyang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-4ea884780681a583bc268e95469bf7ab7b2df28425c242b79e489cea7d4b6d113</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Affective Symptoms - epidemiology</topic><topic>Alexithymia</topic><topic>China - epidemiology</topic><topic>Chronic Disease</topic><topic>East Asian People</topic><topic>Emotions</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental disorders</topic><topic>Middle Aged</topic><topic>Neurosciences</topic><topic>Original Paper</topic><topic>Population studies</topic><topic>Prevalence</topic><topic>Psychiatry</topic><topic>Risk factors</topic><topic>Schizophrenia</topic><topic>Schizophrenia - epidemiology</topic><topic>Suicidal behavior</topic><topic>Suicidal Ideation</topic><topic>Suicide</topic><topic>Suicides & suicide attempts</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhou, Yanan</creatorcontrib><creatorcontrib>Peng, Pu</creatorcontrib><creatorcontrib>Yuan, Ning</creatorcontrib><creatorcontrib>Xiong, Yifan</creatorcontrib><creatorcontrib>Luo, Yinli</creatorcontrib><creatorcontrib>Liu, Lini</creatorcontrib><creatorcontrib>Tan, Rongrong</creatorcontrib><creatorcontrib>Nie, Wei</creatorcontrib><creatorcontrib>Wang, Yuan</creatorcontrib><creatorcontrib>Zhang, Xiangyang</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>European archives of psychiatry and clinical neuroscience</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhou, Yanan</au><au>Peng, Pu</au><au>Yuan, Ning</au><au>Xiong, Yifan</au><au>Luo, Yinli</au><au>Liu, Lini</au><au>Tan, Rongrong</au><au>Nie, Wei</au><au>Wang, Yuan</au><au>Zhang, Xiangyang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Suicidal ideation in Chinese patients with chronic schizophrenia: prevalence, clinical correlates, and relationship with alexithymia</atitle><jtitle>European archives of psychiatry and clinical neuroscience</jtitle><stitle>Eur Arch Psychiatry Clin Neurosci</stitle><addtitle>Eur Arch Psychiatry Clin Neurosci</addtitle><date>2024-10-01</date><risdate>2024</risdate><volume>274</volume><issue>7</issue><spage>1509</spage><epage>1516</epage><pages>1509-1516</pages><issn>0940-1334</issn><issn>1433-8491</issn><eissn>1433-8491</eissn><abstract>Suicidal ideation (SI) is common among people with schizophrenia. However, it has received less attention than suicide attempts (SA), especially in the Chinese population. Alexithymia is a well-established risk factor for SI across different populations. Nevertheless, very few studies evaluated their relationship in schizophrenia patients. We aimed to determine the prevalence and clinical correlates of SI and its relationship with alexithymia in 812 Chinese chronic schizophrenia inpatients. We assessed SI, clinical symptoms, and alexithymia by the Beck Scale for Suicidal Ideation, the Positive and Negative Syndrome Scale (PANSS), and the Toronto Alexithymia Scale, respectively. A multiple logistic regression model was conducted to identify independent correlates of SI. Receiver operating characteristic (ROC) curves and area under the curve (AUC) were performed to determine the ability of our model to distinguish between patients with and without SI. 10% (
n
= 84) reported current SI. Lifetime SA (OR, 4.68; 95% CI 2.76–7.94,
p
< 0.001), PANSS depressive factor (OR, 1.24; 95% CI 1.12–1.38,
p
< 0.001), PANSS positive subscale (OR, 1.055; 95% CI 1.004–1.108,
p
= 0.035), and difficulty identifying emotions (OR, 1.07; 95% CI 1.03–1.12,
p
= 0.002) were associated with SI. The AUC value was 0.80, indicating excellent distinguishing capabilities. Timely assessments of these factors may help identify schizophrenia patients who are at risk for SI.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>37310424</pmid><doi>10.1007/s00406-023-01630-w</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-3326-382X</orcidid></addata></record> |
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| subjects | Adult Affective Symptoms - epidemiology Alexithymia China - epidemiology Chronic Disease East Asian People Emotions Female Humans Male Medicine Medicine & Public Health Mental disorders Middle Aged Neurosciences Original Paper Population studies Prevalence Psychiatry Risk factors Schizophrenia Schizophrenia - epidemiology Suicidal behavior Suicidal Ideation Suicide Suicides & suicide attempts Young Adult |
| title | Suicidal ideation in Chinese patients with chronic schizophrenia: prevalence, clinical correlates, and relationship with alexithymia |
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