Citation

Skodlar B, Tomori M, PARNAS J. Compr. Psychiatry 2008; 49(5): 482-488.

Affiliation

University Psychiatric Hospital, University of Ljubljana, 1000 Ljubljana, Slovenia. borut.skodlar@psih-klinika.si

Copyright

(Copyright © 2008, Elsevier Publishing)

DOI

10.1016/j.comppsych.2008.02.008

PMID

18702934

Abstract

Suicidal ideation and behavior are a frequent complication of schizophrenia. Although a number of risk factors have been identified, specific features of suicidality in schizophrenia remain poorly understood. In this study, 19 patients with schizophrenia were interviewed in depth on their suicidal ideation and intentions, followed by a qualitative phenomenological analysis of the material. Solitude with inability to participate in human interactions and feelings of inferiority were found to be the main sources of suicidal ideation. These experiences seem to resemble ordinary depressive reactions, yet we found them to be reflective of a more basic self-alienation and incapacity for immersion in the shared world. Ignoring this experiential level of patients' disturbances may lead to trivialization (and misjudgment) of the experiences at the root of suicidality in schizophrenia.

Language: en