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Antisuicidal (protective) factors in recovery from schizophrenia

Published online by Cambridge University Press:  01 September 2022

E. Lyubov  and
N. Semenova
E. Lyubov
Affiliation:
Moscow Research Institute of Psychiatry — Branch of The Serbsky National Medical Research Center for Psychiatry and Narcology, Suicidology Department, Moscow, Russian Federation
N. Semenova*
Affiliation:
Moscow Research Institute of Psychiatry, Clinical Psychology Counseling, Moscow, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

Determination of antisuicidal factors (AF) in balance with risk factors for suicidal behavior (SB) is essential for treatment and prophylactic measures.

Objectives

Study AF in a sample of schizophrenic recovered patients (F.20, ICD-10) according to operational criteria R.P. Liberman et al. (2002).

Methods

The content analysis of published self-reports of a sample (n = 13) of Russian and foreign psychiatrists and clinical psychologists with psychotic experience was used as a part of a more extensive qualitative analysis of «wounded healers».

Results

In the history of > ½ (i.e., 7) ex-patients, repeated SPs (aborted suicides), as well as non-suicidal self-harm (e.g., self-cutting), were noted during the active period of the disease, and in four of them – during untreated psychosis. Following AFs can be distinguished in recovery state: clinical (absence of potentially suicidogenic residual depression or/and anxiety, according to criteria N.C. Andreasen et al. (2005) social (professional goals, coping with stigmatization), and existential (e.g., hope, gaining a whole Self).

Conclusions

AF is an important integral component of recovery in schizophrenia as a process of personality development despite a burden of severe mental disorders.

Disclosure

No significant relationships.

Keywords

schizophréniaRecoveryself-reportsantisuicidal factors
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S840
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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