Relationship Between Social Adaptation Self-Evaluation and Suicide Risk in Patients with Schizophrenia

Abstract

Background: the lack of data on the relationship between the level of social adaptation as a complex of macro- and microsocial factors with suicide risk in patients with schizophrenia determines the relevance of this study. Aim: to investigate the relationship between social adaptation self-evaluation and suicide risk in patients with schizophrenia. Patients and methods: we examined 68 patients with schizophrenia. Suicide risk was evaluated using the Beck Hopelessness Scale, the level of social adaptation was assessed using the Social Adaptation Self-evaluation Scale. An assessment of clinical and psychopathological symptoms was performed using the PANSS. Results: the level of hopelessness was higher in the group with a low level of social adaptation self-evaluation than in the group with a high level of social adaptation self-evaluation. However, the groups were comparable for a number of objective indicators of social adaptation (such as education level, marital status, social status). Conclusions: it can be assumed that hopelessness and suicide risk more depend not on the level of social adaptation, but on the subjective experience of the level of adaptation as low or high.