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01.02.2011 | Review Article

Managing Suicide Risk in Patients with Schizophrenia

verfasst von: Dr John Kasckow, Kandi Felmet, Sidney Zisook

Erschienen in: CNS Drugs | Ausgabe 2/2011

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Abstract

The management of suicide risk in patients with schizophrenia poses many challenges for clinicians. Compared with the general population, these patients have an 8.5-fold greater risk of suicide. This article reviews the literature dealing with the treatment of at-risk patients with schizophrenia. An integrated psychosocial and pharmacological approach to managing this population of patients is recommended. Although there is at least modest evidence suggesting that antipsychotic medications protect against suicidal risk, the evidence appears to be most favourable for second-generation anti-psychotics, particularly clozapine, which is the only medication approved by the US FDA for preventing suicide in patients with schizophrenia. In addition, treating depressive symptoms in patients with schizophrenia is an important component of suicide risk reduction. While selective serotonin receptor inhibitors (SSRIs) ameliorate depressive symptoms in patients with schizophrenia, they also appear to attenuate suicidal thoughts. Further research is needed to more effectively personalize the treatment of suicidal thoughts and behaviours and the prevention of suicide in patients with schizophrenia.

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Titel: Managing Suicide Risk in Patients with Schizophrenia
verfasst von: Dr John Kasckow
Kandi Felmet
Sidney Zisook
Publikationsdatum: 01.02.2011
Verlag: Springer International Publishing
Erschienen in: CNS Drugs / Ausgabe 2/2011
Print ISSN: 1172-7047
Elektronische ISSN: 1179-1934
DOI: https://doi.org/10.2165/11586450-000000000-00000

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