Presentation on theme: "DIAGNOSTIC TESTS Schizophrenia. Impulsiveness, Violence, Suicide and Homicide IMSULSIVENESS – Agitated, little impulse control – Decreased social sensitivity."— Presentation transcript:
Impulsiveness, Violence, Suicide and Homicide IMSULSIVENESS – Agitated, little impulse control – Decreased social sensitivity – Suicide and homicide attempts in response to hallucinations
Impulsiveness, Violence, Suicide and Homicide VIOLENCE. – Excluding homicide – Risk factors: Delusions of persecutory behavior Previous episodes of violence Neurologic deficits
SUICIDE – 50% of all schizophrenia patients attempt suicide (10-15% die by suicide) – Precipitants of suicide: Misdiagnosed depression Feelings of absolute emptiness Need to escape from mental torture Auditory hallucinations
Impulsiveness, Violence, Suicide and Homicide SUICIDE – Risk factors: Awareness of the illness, Male sex, College education, Young age A change in the course of the disease Improvement after a relapse Dependence on the hospital Overly high ambitions Previous suicide attempts early in the course of the disease Living alone
Impulsiveness, Violence, Suicide and Homicide HOMICIDE – Same incidence as in general population – Unpredictable or bizarre reasons based on hallucinations or delusions – Possible predictors: History of previous violence Dangerous behavior while hospitalized Hallucinations or delusions involving such violence
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