Citation

Rajkumar RP. Clin. Schizophr. Relat. Psychoses 2015; ePub(ePub): ePub.

Affiliation

Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Department of Psychiatry, Dhanvantari Nagar, Pondicherry - 605 006, India.

Copyright

(Copyright © 2015, Walsh Medical Media)

DOI

10.3371/CSRP.RA.070415

PMID

26218238

Abstract

INTRODUCTION: Acute and transient psychotic disorder (ATPD) is a brief, self-limiting psychiatric disorder commonly seen in developing countries. This condition is associated with an elevated risk of suicide, but data on this association is lacking in developing countries.

METHODOLOGY: Consecutive out-patients with a diagnosis ATPD as per ICD-10 criteria (n=29) were recruited over a period of six months (February - July 2014) and retrospectively assessed for suicide-related ideations and attempts and their correlates both during and in between episodes of their illness.

RESULTS: A total of 16 patients (55.17%) experienced suicide-related ideations, which occurred during a psychotic episode in 14 patients. Six patients (20.69%) made suicide attempts. A later age of onset was significantly associated with suicidality (p = 0.04), as was a family history of depression or related ("spectrum") conditions (p < 0.01). A relationship with higher educational status, reported in an earlier study, was not replicated in our sample.

CONCLUSIONS: Suicide-related ideation and suicide attempts are common in ATPD, and may be linked to a later onset and a genetic loading for depression-related conditions.

Language: en