A new nurse mentions to a peer, "My patient has just been diagnosed with schizophrenia. At least I will not have to worry about him being suicidal.". The most helpful response by the peer would be:
a. "People with schizophrenia are at high risk, especially early in their illness.".
b. "You will need to assess him further, as anyone can commit suicide.".
c. "Suicide is a risk for any patient with schizophrenia who uses alcohol or drugs.".
d. "Yes, they are too disorganized and delusional to be able to hurt themselves.".
A
Up to 60% of males with schizophrenia attempt suicide, and 10% of patients with schizophrenia die from suicide. The risk is highest in the early years of the illness. Further assessment is indicated, but this statement does not clearly refute the nurse's mistaken belief that psychosis is associated with lower suicide risk. The scenario does not mention substance use; although it would further increase suicide risk, even without substance abuse, persons with schizophrenia are at higher risk. Persons with schizophrenia can be disorganized and delusional, but delusions and hallucinations (especially command hallucinations) can increase suicide risk.
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