The association between psychotic symptoms and suicidal ideation in a sample of patients with schizophrenia: The moderating effect of the frequency of suicidal thoughts
Abdallah Abu Khait , Austin Menger , Ghada Shahrour , Ayat ALhamdan , Esra'a Issa , Shaher H. Hamaideh
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Abstract
Introduction
Suicidal ideation among patients with schizophrenia is ubiquitous and may lead to premature death. The ideation is a significant determinant of attempting and committing suicide.
Aim
This study aims to examine the moderating role of the frequency of suicidal thoughts on the relationship between psychotic symptoms and suicidal ideation in a sample of Jordanian patients with schizophrenia.
Materials and methods
This cross-sectional study used a non-experimental moderation design to recruit participants using convenience sampling. A total of 204 patients with schizophrenia completed self-administered questionnaires.
Results
The significant predictors of suicidal ideation were sex, whether or not the individual adhered to their medication prescription, age, the number of previous suicidal thoughts an individual had, and negative symptoms. For all suicidal ideation subscales except subscale 3 (suicide contemplation), positive psychotic symptoms were a significant predictor of suicidal ideation. The frequency of suicidal thoughts reduced (moderated) the effect of negative symptoms on suicidal ideation while amplifying the effect of positive psychotic symptoms on all suicidal ideation subscales except subscale 3 (suicide contemplation).
Conclusions
This study's results highlight the necessity of reducing suicidal thoughts to diminish the effect that positive psychotic symptoms have on suicidal ideation in patients with schizophrenia. Further research might explore the intricate relationship between psychotic symptoms and the mechanisms included in their complex link to suicidal ideation.
Implications for the practice
The results will help psychiatric nurses develop timely and accurate preventive strategies to fight suicidal ideation, assist in identifying which subgroups of patients with schizophrenia are vulnerable to suicidal ideation, and potentially lessen the suicide rate.
期刊介绍：
Archives of Psychiatric Nursing disseminates original, peer-reviewed research that is of interest to psychiatric and mental health care nurses. The field is considered in its broadest perspective, including theory, practice and research applications related to all ages, special populations, settings, and interdisciplinary collaborations in both the public and private sectors. Through critical study, expositions, and review of practice, Archives of Psychiatric Nursing is a medium for clinical scholarship to provide theoretical linkages among diverse areas of practice.
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