Self-disorder and subjective dimensions of suicidality in schizophrenia

Compr Psychiatry. Jul-Aug 2010;51(4):363-6. doi: 10.1016/j.comppsych.2009.11.004. Epub 2009 Dec 21.

Abstract

We studied 25 schizophrenia patients using the Examination of Anomalous Self-Experience phenomenological interview framework. In a previous study, this sample was qualitatively interviewed concerning subjective reasons for suicidal ideation. We hypothesized that 2 main identified reasons for suicidality, that is, sense of solitude and inferiority feelings, would be associated with disturbances measured by the Examination of Anomalous Self-Experience scale, that is, disorders of self-awareness and self-presence. The hypothesis was empirically supported. The results shed some additional light on suicidality in schizophrenia: it appears to be partly motivated by a disordered sense of self. These findings, if replicated, may have considerable therapeutic and preventive implications.

MeSH terms

  • Awareness
  • Diagnostic and Statistical Manual of Mental Disorders
  • Female
  • Humans
  • Interview, Psychological
  • Male
  • Personality Assessment
  • Schizophrenic Psychology*
  • Self Concept*
  • Suicide / psychology*