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Are demoralization and insight involved in suicide risk? An observational study on psychiatric inpatients

Published online by Cambridge University Press:  13 August 2021

I. Berardelli ,
M. Innamorati ,
S. Sarubbi ,
E. Rogante ,
D. Erbuto ,
A. Costanza ,
A. Del Casale ,
M. Pasquini ,
D. Lester  and
M. Pompili
I. Berardelli*
Affiliation:
Corresponding Author: Prof. Maurizio Pompili, Department Of Neurosciences, Mental Health And Sensory Organs, Suicide Prevention Center, Sant’andrea Hospital, Sapienza University Of Rome, 00189 Rome, Italy., Sapienza University of Rome, Rome, Italy
M. Innamorati
Affiliation:
Department Of Human Sciences, European University of Rome, Rome, Italy, Rome, Italy
S. Sarubbi
Affiliation:
Department Of Psychology, Sapienza University of Rome, Rome, Italy
E. Rogante
Affiliation:
Department Of Human Sciences, European University of Rome, Rome, Italy, Rome, Italy
D. Erbuto
Affiliation:
Department Of Neurosciences, Mental Health, And Sensory Organs, Department of Neurosciences Mental Health and Sensory Organs, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy
A. Costanza
Affiliation:
Department Of Psychiatry, Faculty Of Medicine, University of Geneva (UNIGE), 1211 Geneva, Switzerland;, Ginevra, Switzerland
A. Del Casale
Affiliation:
Department Of Clinical And Dynamic Psychology, Sapienza University of Rome, Rome, Italy
M. Pasquini
Affiliation:
Department Of Human Neurosciences Faculty Of Medicine And Dentistry, Sapienza University of Rome, Rome, Italy
D. Lester
Affiliation:
Psychology Program, Stockton University, New Jersey, United States of America
M. Pompili
Affiliation:
Department Of Neurosciences, Mental Health, And Sensory Organs, Department of Neurosciences Mental Health and Sensory Organs, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy
*
*Corresponding author.

Abstract

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Introduction

Although several authors have investigated the relationship between demoralization, insight, and suicide risk, the role of these factors in determining suicide risk in patients with psychiatric disorders is still unclear [Berardelli et al., 2019; Costanza et al., 2020].

Objectives

The main aim of this study was therefore to determine whether suicide risk was associated with better insight and worse demoralization in a sample of 100 adult psychiatric inpatients.

Methods

The study was performed on 100 psychiatric hospitalized adult patients consecutively enrolled between January 2019 and April 2020 at psychiatric units of Sant’Andrea Medical Center, Sapienza University of Rome. The Columbia Suicide Severity Rating Scale (C-SSRS) was used to assess suicide risk, Demoralization was assessed using the Demoralization Scale (DS) [Kissane et al., 2004] and for the assessment of insight we used the The Insight Scale (IS).

Results

Only age was significantly associated with higher suicide risk (χ2=9.07, p<0.01). The variable mood disorder was significantly associated with higher suicide risk (χ22=7.50, p<0.05). Non-suicidal self-harm behaviors in the last 3 months (χ2=5.89, p<0.05) and lifetime suicide attempts (χ2=21.80, p<0.001) were significantly associated with higher suicide risk. Only the insight-high dimension (χ2=8.01, p<0.01) and lifetime suicide attempts (χ2=12.33, p<0.001) were significantly associated with higher suicide risk.

Conclusions

Our results don’t confirm the role of demoralization in suicide risk. In our sample of patients, only high insigth of illness and other psychological variables are involved in suicide risk.

Disclosure

No significant relationships.

Keywords

preventionsuicide riskdemoralizationinsight
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S174
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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