Suicidality prior to presentation in first-episode psychosis

Sharon Foley, Deirdre Jackson, Stephen Mcwilliams, Laoise Renwick, Marie Sutton, Niall Turner, Anthony Kinsella, Eadbhard O'Callaghan

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Introduction: Suicide and attempted suicide contribute significantly to the increased mortality and morbidity associated with psychotic illness. The period of highest risk is reportedly in the early years of illness. While the literature concentrates on completed suicide in chronic psychosis, less is understood about attempted suicide in first-episode psychosis (FEP). Aim: We aimed to examine rates and correlates of suicide attempts in individuals with FEP. Method: Individuals in this study were all those, both in- and outpatients, diagnosed with FEP over a 2-year period, from a defined catchment area. Assessment included Structured Clinical Interview for DSM-IV, Schedule for Assessment of Positive Symptoms, Schedule for Assessment of Negative Symptoms, Calgary Scale, Beiser Scale and Birchwood Insight Scale. Results: Of 107 patients with FEP, 50 (47%) individuals reported suicidal ideation: 41 (38%) in the month prior to first presentation. Ten individuals (9%) made a suicide attempt. The only factor significantly associated with previous suicide attempt was higher insight scores at first presentation (P = 0.04). Conclusion: Individuals with a history of suicide attempt tend to have higher insight into having a mental illness at first presentation. © 2008 The Authors Journal compilation © 2008 Blackwell Publishing Asia Pty Ltd.
    Original languageEnglish
    Pages (from-to)242-246
    Number of pages4
    JournalEarly Intervention in Psychiatry
    Volume2
    Issue number4
    DOIs
    Publication statusPublished - 2008

    Keywords

    • First-episode psychosis
    • Suicidality
    • Suicide attempt

    Fingerprint

    Dive into the research topics of 'Suicidality prior to presentation in first-episode psychosis'. Together they form a unique fingerprint.

    Cite this