SAFETYLIT WEEKLY UPDATE

We compile citations and summaries of about 400 new articles every week.
RSS Feed

HELP: Tutorials | FAQ
CONTACT US: Contact info

Search Results

Journal Article

Citation

Castelein S, Liemburg EJ, de Lange JS, van Es FD, Visser E, Aleman A, Bruggemans R, Knegtering H. Ned. Tijdschr. Geneeskd. 2015; 159: A9565.

Vernacular Title

Daling suïcidecijfer na eerste psychose.

Affiliation

*Dit onderzoek werd eerder gepubliceerd in PLoS One (2015;10:e0129263) met als titel 'Suicide in recent onset psychosis revisited: significant reduction of suicide rate over the last two decades - a replication study of a Dutch incidence cohort'. Afgedrukt met toestemming.

Copyright

(Copyright © 2015, Erven Bohn)

DOI

unavailable

PMID

26732214

Abstract

OBJECTIVE: Over two decades ago a study reported that a percentage as high as 11% of the patients with a psychotic disorder in the northern Netherlands died by committing suicide. The primary objective of the current study was to replicate these findings in the same geographical area. A secondary objective was to investigate potential predictors of suicide.

DESIGN: Retrospective cohort study.

METHOD: From patient files we identified the current status of all patients who experienced their first episode of psychosis and participated in the Psychosis Recent Onset Groningen-Survey (PROGR-S) between 2000 and 2009. The PROGR-S is a diagnostic protocol for persons with suspected first psychosis. Kaplan-Meier survival analysis was used to identify the current suicide risk in this group and this was compared with the 1973-1988 patients using a log rank test. We also determined the standardized mortality rate in relation to the general population. Cox regression analysis was used to assess significant predictors of suicide.

RESULTS: The suicide risk dropped drastically over the course of two decades from 11% to 2.4%. Older age was the strongest predictor of suicide. The standardized mortality rate was 41.6.

CONCLUSION: Despite the significant decline in suicide after a first episode of psychosis, the risk of suicide should be given the highest priority in psychiatric psychosis care, as it is very high at 4162% compared with the suicide risk in general population.


Language: nl

NEW SEARCH


All SafetyLit records are available for automatic download to Zotero & Mendeley
Print