lack of social relationship alcohol consumption low self-esteem ineffective stress management Lack of social support Gender Low educational background Low socio economic status Developmental theories Family theories Substance abuse Stress vulnerability theory Lack of attention during earliest of life Reality misinterpretation Relationship withdrawal Decrease family function Physical and psychological changes Inability to handle stress Without external support Increase relapse of schizophrenia Nervous breakdown Schizophrenia (Paranoid) Grandiosity, auditory hallucination delusion Violent Throwing stone Holding a knife