Résumés
Résumé
L’objectif de cette étude était d’examiner l’influence du rapport à la maladie sur le suicide chez les personnes atteintes de schizophrénie tel qu’il est reflété par la conscience, l’acceptation de la maladie et du traitement, l’acceptation et l’implication de la famille et les événements de vie associés à la maladie. La méthode de l’autopsie psychologique a été utilisée afin de comparer un groupe de 29 patients décédés par suicide et un groupe de 33 patients non suicidaires ayant un diagnostic de schizophrénie ou de trouble schizo-affectif. Les résultats indiquent que le risque de suicide augmente chez ceux ayant un rapport négatif à leur maladie, reflété par leur refus d’accepter la maladie, les événements de vie « générés » par la maladie et la dépression. Les stratégies de prévention devraient mettre l’accent sur l’amélioration de l’acceptation de la maladie des patients et sur le dépistage et le traitement adéquats de la dépression.
Mots clés:
- suicide,
- schizophrénie,
- trouble schizo-affectif ,
- conscience de la maladie,
- acceptation de la maladie,
- événements de vie
Abstract
The goal of the study was to examine schizophrenic patients’ relationship with their illness and its influence on completed suicide. To do so, we studied the impact of awareness of illness, of illness and treatment acceptance, of the family’s acceptance and support and of illness-related events (i.e. those “generated” by the illness) on completed suicide. The study design was a case-controlled psychological autopsy study in which a group of 29 schizophrenic and schizoaffective patients who committed suicide were compared to a group of 33 living controls. The results indicate that a negative relation with one’s illness does increase suicide risk as reflected by the refusal to accept one’s illness, illness-related events and depression. Prevention strategies should focus on increasing illness acceptance and on the appropriate detection and treatment of depression.
Keywords:
- suicide,
- schizophrenia,
- schizoaffective disorder,
- illness awareness,
- illness acceptance,
- life events
Parties annexes
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