Citation

Crumlish N, Whitty P, Kamali M, Clarke M, Browne S, McTigue O, Lane A, Kinsella A, Larkin C, O'Callaghan E. Acta Psychiatr. Scand. 2005; 112(6): 449-455.

Copyright

(Copyright © 2005, John Wiley and Sons)

DOI

10.1111/j.1600-0447.2005.00620.x

PMID

16279874

Abstract

OBJECTIVE: To map the development of insight in the 4 years after presentation with first-episode schizophrenia and schizophreniform disorder and to determine the effects of evolving insight on depression and the likelihood of attempted suicide.
METHOD: We assessed 101 individuals at presentation, 6 months and 4 years. We measured insight, including recognition of mental illness, recognition of need for treatment and ability to relabel psychotic symptoms. We measured depression and recorded all suicide attempts.
RESULTS: Insight improved with time. Recognition of mental illness at 6 months predicted depression and attempted suicide at 4 years.
CONCLUSION: Six months after presentation, the greater the acknowledgement by people that they had a mental illness, the more depressed they were at 4 years and the greater the likelihood that they would attempt suicide by 4 years. This may have implications for disclosure of diagnosis.

Language: en

Keywords

Adult; Depression; Female; Follow-Up Studies; Humans; Male; Prognosis; Psychotic Disorders; Schizophrenic Psychology; Self Concept; Suicide, Attempted