Rates and Risk Factors for Suicide Ideas among  Schizophrenia Patients in Indonesia

Nurmiati Amir; Ronald Antoni; Asmarahadi Asmarahadi; Prianto Djatmiko; Siti Khalimah; Safyuni Naswati; Gerald M. Semen; Presetyawan Prasetyawan; Widayanti D. Wulandari

doi:10.3889/oamjms.2019.393

Authors

Nurmiati Amir Department of Psychiatry, Faculty of Medicine, University of Indonesia, Ciptomangunkusumo General Hospital, Jakarta, Indonesia
Ronald Antoni Department of Psychiatry, Faculty of Medicine, University of Indonesia, Ciptomangunkusumo General Hospital, Jakarta, Indonesia
Asmarahadi Asmarahadi Department of Psychiatry, Faculty of Medicine, University of Indonesia, Ciptomangunkusumo General Hospital, Jakarta, Indonesia
Prianto Djatmiko Department of Psychiatry, Faculty of Medicine, University of Indonesia, Ciptomangunkusumo General Hospital, Jakarta, Indonesia
Siti Khalimah Department of Psychiatry, Faculty of Medicine, University of Indonesia, Ciptomangunkusumo General Hospital, Jakarta, Indonesia
Safyuni Naswati Department of Psychiatry, Faculty of Medicine, University of Indonesia, Ciptomangunkusumo General Hospital, Jakarta, Indonesia
Gerald M. Semen Department of Psychiatry, Faculty of Medicine, University of Indonesia, Ciptomangunkusumo General Hospital, Jakarta, Indonesia
Presetyawan Prasetyawan Department of Psychiatry, Faculty of Medicine, University of Indonesia, Ciptomangunkusumo General Hospital, Jakarta, Indonesia
Widayanti D. Wulandari Department of Psychiatry, Faculty of Medicine, University of Indonesia, Ciptomangunkusumo General Hospital, Jakarta, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2019.393

Keywords:

schizophrenia, suicide idea, risk factors

Abstract

BACKGROUND: Schizophrenia is associated with a high rate of suicide.

AIM: Our study was aimed to identify the rates of suicide ideas in patients with schizophrenia as well as the risk factors associated with suicide ideas.

METHODS: As many as 1130 subjects were evaluated using the Indonesian version of Diagnosis Interview for Psychosis (DIP) to establish the diagnosis of schizophrenia. Subjects aged 18-65 years. The risk factors were socio-demographic data, mental disorder history in the family, clinical symptoms and clinical course of schizophrenia. Risk factors that have the strongest correlation with suicide ideas were analysed using multivariate logistic regression analysis.

RESULTS: About 6.1% of subjects reported suicide ideas in their life. The age of disease onset (p = 0.006), family history of schizophrenia (p = 0.013), poor concentration (p = 0.032), loss of enjoyment (p = 0.000), guilty feeling (p = 0.000), family history of mental illness (p = 0.000), nihilistic delusion (p = 0.001) and alcohol abuse (p = 0.000) were significantly associated with suicide ideas.

CONCLUSION: Suicide idea is quite common in people with schizophrenia. Evaluation and management of risk factors associated with suicide ideas should be performed to prevent suicide attempts or death. Suicide ideas and risk factors can become clinical parameters in the instrument of suicide prevention.

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