Pregledni rad

Aggression and Suicidality in Psychotic Disorders

Dunja Degmečić

Sažetak

Aggression and suicidality are emergency states in psychiatric practice. Aggressive behaviour can appear in different mental disorders (psychosis, acute intoxications, personality disorders, organic mental disorders), and also after different frustrative situations. A noticeable number of patients with a first psychotic episode have aggressive incidents. Studies show that around 30 percent of patients in a first psychotic episode committed at least one violent act. Aggression often leads to several negative consequences such as prolonged hospitalisation, social isolation, or inclusion of social services. Clinical risk factors for violent or aggressive behaviour in psychotic patients include history of violent acts, existence of manic symptoms, use of psychoactive substances, uncooperativeness, excitement, impulsivity, lack of insight and positive symptoms. Suicidality in psychotic disorders is also an important topic considering the fact that schizophrenia and psychotic disorders are recognised as independent risk factors for suicide and suicidal behaviour. Life risk for suicide in schizophrenia and other psychotic disorders is estimated around 5–7 percent, and up to 10% according to some authors. The suicide risk is higher during the first psychotic episode in the first year of the disease when it is even twelve times higher compared with the general population. These two symptoms in psychotic patients are challenging in clinical practice where pharmacological and nonpharmacological treatment procedures should be applied as standard therapeutic procedures.

Ključne riječi

aggression; suicidality; psychosis

Hrčak ID:

308615

URI

https://hrcak.srce.hr/308615

Datum izdavanja:

9.10.2023.

Podaci na drugim jezicima: hrvatski

Posjeta: 492 *