Clinical Setting and Motivation in Suicidal Attempts of Schizophrenics

Most of the suicidal attempts in 52 schizophrenics (mean age=38 yrs) were preceded by excitement ranging from acute panic to protracted anguish states. In a few cases characterized by long-term withdrawal & uneventful course, the suicidal attacks occurred without any warning in an ictal-like manner. Concludes that most suicides in schizophrenia are primarily determined by the fluctuating activity of the psychosis, & secondarily influenced by the patient’s awareness of incapacity.