Suicide Attempts, Neurocognitive Dysfunctions and Clinical Correlates in Middle-Aged and Elderly Chinese Schizophrenia Patients

Background: Suicide is a common and complex symptom of schizophrenia that may be related to clinical variables and neurocognitive function. This study aimed to investigate the associated correlates of suicide attempts in Chinese middle-aged and elderly inpatients with schizophrenia, including demogr...

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Main Authors: Yuanyuan Huang, Kai Wu, Rui Jiang, Xiaoying Zeng, Sumiao Zhou, Weijian Guo, Yangdong Feng, Caimei Zou, Hehua Li, Ting Li, Yuping Ning, Mingzhe Yang, Fengchun Wu
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-05-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2021.684653/full
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author Yuanyuan Huang
Kai Wu
Rui Jiang
Xiaoying Zeng
Xiaoying Zeng
Sumiao Zhou
Weijian Guo
Yangdong Feng
Caimei Zou
Hehua Li
Ting Li
Yuping Ning
Yuping Ning
Yuping Ning
Mingzhe Yang
Fengchun Wu
Fengchun Wu
Fengchun Wu
author_facet Yuanyuan Huang
Kai Wu
Rui Jiang
Xiaoying Zeng
Xiaoying Zeng
Sumiao Zhou
Weijian Guo
Yangdong Feng
Caimei Zou
Hehua Li
Ting Li
Yuping Ning
Yuping Ning
Yuping Ning
Mingzhe Yang
Fengchun Wu
Fengchun Wu
Fengchun Wu
author_sort Yuanyuan Huang
collection DOAJ
description Background: Suicide is a common and complex symptom of schizophrenia that may be related to clinical variables and neurocognitive function. This study aimed to investigate the associated correlates of suicide attempts in Chinese middle-aged and elderly inpatients with schizophrenia, including demographic and clinical characteristics and cognitive level, which has not yet been reported.Methods: A total of 426 schizophrenia inpatients were recruited for this study. Clinical symptoms were evaluated using the Positive and Negative Syndrome Scale (PANSS). Neurocognitive function was measured by the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS).Results: The prevalence of suicide attempts in middle-aged and elderly Chinese schizophrenia patients was 13.3%. Female patients had a higher suicide rate than male patients. Patients with suicide attempts had significantly higher PANSS-positive subscores, depressive subscores, and RBANS-story recall than non-attempter patients (all p < 0.05). Multiple logistic regression showed that gender, positive subscore, depressive subscore and RBANS-story recall (OR = 1.10–2.19, p < 0.05) were independently associated with suicide attempts in middle-aged and elderly schizophrenia patients.Conclusions: Our study showed that the rate of suicide attempts in Chinese middle-aged and elderly schizophrenia patients is high. Compared to non-attempters, there are less cognitive impairments, more clinical symptoms, and more female patients in the suicide attempters.
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spelling doaj.art-d599f9cf8edf428ca03cf3812a8fc9a32022-12-21T22:12:09ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402021-05-011210.3389/fpsyt.2021.684653684653Suicide Attempts, Neurocognitive Dysfunctions and Clinical Correlates in Middle-Aged and Elderly Chinese Schizophrenia PatientsYuanyuan Huang0Kai Wu1Rui Jiang2Xiaoying Zeng3Xiaoying Zeng4Sumiao Zhou5Weijian Guo6Yangdong Feng7Caimei Zou8Hehua Li9Ting Li10Yuping Ning11Yuping Ning12Yuping Ning13Mingzhe Yang14Fengchun Wu15Fengchun Wu16Fengchun Wu17Department of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, ChinaDepartment of Biomedical Engineering, School of Materials Science and Engineering, South China University of Technology (SCUT), Guangzhou, ChinaQingdao Mental Health Center, Qingdao University, Qingdao, ChinaDepartment of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, ChinaNew Growth of Guangzhou, Guangzhou, ChinaDepartment of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, ChinaDepartment of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, ChinaDepartment of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, ChinaDepartment of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, ChinaDepartment of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, ChinaDepartment of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, ChinaDepartment of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, ChinaThe First School of Clinical Medicine, Southern Medical University, Guangzhou, ChinaGuangdong Engineering Technology Research Center for Translational Medicine of Mental Disorders, Guangzhou, ChinaDepartment of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, ChinaDepartment of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, ChinaThe First School of Clinical Medicine, Southern Medical University, Guangzhou, ChinaGuangdong Engineering Technology Research Center for Translational Medicine of Mental Disorders, Guangzhou, ChinaBackground: Suicide is a common and complex symptom of schizophrenia that may be related to clinical variables and neurocognitive function. This study aimed to investigate the associated correlates of suicide attempts in Chinese middle-aged and elderly inpatients with schizophrenia, including demographic and clinical characteristics and cognitive level, which has not yet been reported.Methods: A total of 426 schizophrenia inpatients were recruited for this study. Clinical symptoms were evaluated using the Positive and Negative Syndrome Scale (PANSS). Neurocognitive function was measured by the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS).Results: The prevalence of suicide attempts in middle-aged and elderly Chinese schizophrenia patients was 13.3%. Female patients had a higher suicide rate than male patients. Patients with suicide attempts had significantly higher PANSS-positive subscores, depressive subscores, and RBANS-story recall than non-attempter patients (all p < 0.05). Multiple logistic regression showed that gender, positive subscore, depressive subscore and RBANS-story recall (OR = 1.10–2.19, p < 0.05) were independently associated with suicide attempts in middle-aged and elderly schizophrenia patients.Conclusions: Our study showed that the rate of suicide attempts in Chinese middle-aged and elderly schizophrenia patients is high. Compared to non-attempters, there are less cognitive impairments, more clinical symptoms, and more female patients in the suicide attempters.https://www.frontiersin.org/articles/10.3389/fpsyt.2021.684653/fullsuicide attemptsneurocognitive functionschizophreniaPANSSmiddle-aged and elderly
spellingShingle Yuanyuan Huang
Kai Wu
Rui Jiang
Xiaoying Zeng
Xiaoying Zeng
Sumiao Zhou
Weijian Guo
Yangdong Feng
Caimei Zou
Hehua Li
Ting Li
Yuping Ning
Yuping Ning
Yuping Ning
Mingzhe Yang
Fengchun Wu
Fengchun Wu
Fengchun Wu
Suicide Attempts, Neurocognitive Dysfunctions and Clinical Correlates in Middle-Aged and Elderly Chinese Schizophrenia Patients
Frontiers in Psychiatry
suicide attempts
neurocognitive function
schizophrenia
PANSS
middle-aged and elderly
title Suicide Attempts, Neurocognitive Dysfunctions and Clinical Correlates in Middle-Aged and Elderly Chinese Schizophrenia Patients
title_full Suicide Attempts, Neurocognitive Dysfunctions and Clinical Correlates in Middle-Aged and Elderly Chinese Schizophrenia Patients
title_fullStr Suicide Attempts, Neurocognitive Dysfunctions and Clinical Correlates in Middle-Aged and Elderly Chinese Schizophrenia Patients
title_full_unstemmed Suicide Attempts, Neurocognitive Dysfunctions and Clinical Correlates in Middle-Aged and Elderly Chinese Schizophrenia Patients
title_short Suicide Attempts, Neurocognitive Dysfunctions and Clinical Correlates in Middle-Aged and Elderly Chinese Schizophrenia Patients
title_sort suicide attempts neurocognitive dysfunctions and clinical correlates in middle aged and elderly chinese schizophrenia patients
topic suicide attempts
neurocognitive function
schizophrenia
PANSS
middle-aged and elderly
url https://www.frontiersin.org/articles/10.3389/fpsyt.2021.684653/full
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