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Revisiting the Association of Aggression and Suicidal Behavior in Schizophrenic Inpatients

Authors

  • Tanja Neuner MSc,

    1. TanjaNeuner, BettinaHübner-Lebermann, HelmutHausner, and GöranHajak, Department of Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany; ManfredWolfersdorf, Department of Psychiatry and Psychotherapy, State Hospital Bayreuth, Bayreuth, Germany; HermannSpießl, Department of Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany, and Department of Psychiatry and Psychotherapy, State Hospital Landshut, Landshut, Germany.
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  • Bettina Hübner-Liebermann MSc,

    1. TanjaNeuner, BettinaHübner-Lebermann, HelmutHausner, and GöranHajak, Department of Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany; ManfredWolfersdorf, Department of Psychiatry and Psychotherapy, State Hospital Bayreuth, Bayreuth, Germany; HermannSpießl, Department of Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany, and Department of Psychiatry and Psychotherapy, State Hospital Landshut, Landshut, Germany.
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  • Helmut Hausner MD,

    1. TanjaNeuner, BettinaHübner-Lebermann, HelmutHausner, and GöranHajak, Department of Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany; ManfredWolfersdorf, Department of Psychiatry and Psychotherapy, State Hospital Bayreuth, Bayreuth, Germany; HermannSpießl, Department of Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany, and Department of Psychiatry and Psychotherapy, State Hospital Landshut, Landshut, Germany.
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  • Göran Hajak MD, PhD,

    1. TanjaNeuner, BettinaHübner-Lebermann, HelmutHausner, and GöranHajak, Department of Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany; ManfredWolfersdorf, Department of Psychiatry and Psychotherapy, State Hospital Bayreuth, Bayreuth, Germany; HermannSpießl, Department of Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany, and Department of Psychiatry and Psychotherapy, State Hospital Landshut, Landshut, Germany.
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  • Manfred Wolfersdorf MD, PhD,

    1. TanjaNeuner, BettinaHübner-Lebermann, HelmutHausner, and GöranHajak, Department of Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany; ManfredWolfersdorf, Department of Psychiatry and Psychotherapy, State Hospital Bayreuth, Bayreuth, Germany; HermannSpießl, Department of Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany, and Department of Psychiatry and Psychotherapy, State Hospital Landshut, Landshut, Germany.
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  • Hermann Spießl MD, PhD

    1. TanjaNeuner, BettinaHübner-Lebermann, HelmutHausner, and GöranHajak, Department of Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany; ManfredWolfersdorf, Department of Psychiatry and Psychotherapy, State Hospital Bayreuth, Bayreuth, Germany; HermannSpießl, Department of Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany, and Department of Psychiatry and Psychotherapy, State Hospital Landshut, Landshut, Germany.
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Address correspondence to Tanja Neuner, Department of Psychiatry and Psychotherapy, University of Regensburg, Universitätsstr. 84, D-93053 Regensburg, Germany; E-mail: tanja.neuner@medbo.de

Abstract

Our study investigated the association of aggression and suicidal behavior in schizophrenic inpatients. Eight thousand nine hundred one admissions for schizophrenia (1998–2007) to a psychiatric university hospital were included. Schizophrenic suicides (n = 7)/suicide attempters (n = 40) were compared to suicides (n = 30)/suicide attempters (n = 186) with other diagnoses and to schizophrenic non-attempters regarding aggression. Logistic regression analysis was performed to explore risk factors for attempted suicide. Schizophrenic suicides/suicide attempters did not differ from other suicides/suicide attempters or from schizophrenic non-attempters with regard to aggression. Risk of inpatient suicide attempt was increased for patients with attempted suicide at admission, high school graduation, and disorganized subtype. Aggression could not be found to be a predictor of attempted suicide. Aggression seems to have a minor role for suicidal behavior in schizophrenia.

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