Mourning, insight, and reduction of suicide risk in schizophrenia.
Literature on the assessment of suicide risk in individuals with schizophrenia is summarized, including the risk factors shared in common with the general population, illness-specific risk factors, and times of heightened risk in the course of the illness. Because depression emerges as a significant risk factor, it is differentiated from conditions that can mimic depression: mourning, aprosodia, and negative symptoms. Because insight or awareness of illness carries risk, as does the lack of insight, the psychological and neurocognitive components of impaired and of accurate insight are described. Finally, the role of mourning in the attainment of accurate, usable insight that can reduce suicidal risk is described.
Lewis
Lisa
L
Menninger Department of Psychiatry at Baylor College of Medicine, The Menninger Clinic, Houston, Texas, USA. llewis@menninger.edu
D003717:Denial, Psychological; D003863:Depression / Q000175:diagnosis; D003937:Diagnosis, Differential; D006117:Grief; D006801:Humans; D012307:Risk Factors; D012559:Schizophrenia / Q000453:epidemiology*; D012938:Social Perception; D013406:Suicide, Attempted / Q000517:prevention & control* / Q000706:statistics & numerical data*