ASSESSMENT AND INTERVENTION FOR THE SUICIDAL PATIENT WITH SCHIZOPHRENIA

The risk for suicidal behavior in schizophrenia is high with 10-15% co mmitting suicide and 20-40% making suicide attempts. Due to the chroni city and complexity of schizophrenia and the multi-determined nature o f suicidal behavior, the clinician must utilize a biopsychosocial appr oach to assessment and intervention. Clinical factors such as psychosi s, depression and substance abuse increase the risk for suicidal behav ior in schizophrenia. Social factors such as social adjustment and soc ial supports also play a critical role. Ongoing assessment and interve ntion of suicidal behavior, clinical symptomatology, social environmen t and treatment issues are essential. Prediction and prevention of sui cidal behavior are not always possible however. Treatment focused on t he reduction of symptomatology and maintenance of an effective social environment may attenuate the risk for suicidal behavior in schizophre nia.