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PERSPECTIVE article

Front. Psychiatry

Sec. Schizophrenia

Volume 16 - 2025 | doi: 10.3389/fpsyt.2025.1698101

This article is part of the Research TopicAnosognosia in Neurological and Psychiatric DisordersView all 4 articles

Examining suicide risk among people with schizophrenia, focusing on the role of anosognosia and the ethical considerations for future research directions

Provisionally accepted
  • Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa

The final, formatted version of the article will be published soon.

This perspective paper discusses the primary risk factors consistently identified in systematic reviews of suicide among individuals with schizophrenia. Particular attention is given to the intricate relationship between anosognosia (lack of insight into one's illness) and suicide risk in this population. This paper explores how anosognosia may influence other established risk factors and potentially contribute to suicidal behavior in patients with schizophrenia. By analyzing this complex interplay, this paper aims to provide a more comprehensive understanding of suicide risk in schizophrenia, potentially informing more effective prevention strategies and interventions for this vulnerable group. Future research in this area should carefully consider the ethical implications, including the potential impact of interventions on individuals with varying levels of insight into their condition. Researchers must prioritize participant safety and well-being while balancing the need to advance knowledge in this critical field.

Keywords: Schizophrenia, Suicide, Risk factors, anosognosia, Depression, Ethics

Received: 03 Sep 2025; Accepted: 06 Oct 2025.

Copyright: © 2025 Kotze and Roos. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Carla Kotze, carla_kotze@yahoo.com

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