@article{ref1,
title="Prevalence and predictors of suicidality and non-suicidal self-harm among individuals at clinical high-risk for psychosis: results from a community-recruited  sample",
journal="Early intervention in psychiatry",
year="2020",
author="Haining, Kate and Karagiorgou, Olga and Gajwani, Ruchika and Gross, Joachim and Gumley, Andrew I. and Lawrie, Stephen M. and Schwannauer, Matthias and Schultze-Lutter, Frauke and Uhlhaas, Peter J.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="AIM: Suicidal thoughts and behaviours are prevalent in individuals with schizophrenia. However, research examining the prevalence and predictors of  suicidality and self-harm in participants at clinical high-risk for psychosis  (CHR-P) is limited and mostly focuses on help-seeking participants recruited through  clinical pathways. The current study sought to assess the prevalence of suicidality  and self-harm and identify predictors of current suicidal ideation in  community-recruited CHR-P participants. <br><br>METHODS: Data were available for 130 CHR-P  participants, 15 participants with first-episode psychosis (FEP), 47 participants  not fulfilling CHR-P criteria (CHR-Ns) and 53 healthy controls. Current and lifetime  suicidality and self-harm were assessed using the Mini-International  Neuropsychiatric Interview and the Comprehensive Assessment of At-Risk Mental States  (CAARMS). Multivariable logistic regression analysis was used to determine  predictors of current suicidal ideation in the CHR-P group. <br><br>RESULTS: A considerable  proportion of CHR-P participants disclosed current suicidal ideation (34.6%). Overall, FEP individuals were at greatest risk, with considerably high prevalence  rates for current suicidal ideation (73.3%), lifetime self-harm behaviour (60.0%)  and lifetime suicide attempt (60.0%). In the CHR-P sample, current suicidal ideation  was predicted by lifetime suicide attempts, lower CAARMS severity, impaired social  functioning and greater comorbidity. <br><br>CONCLUSIONS: Our findings suggest that  suicidality and self-harm are highly prevalent in community-recruited CHR-P and FEP  individuals. Accordingly, these results highlight the importance of further research  into the determinants of suicidality and self-harm during at-risk and early stages  of psychosis, and the implementation of intervention strategies to reduce adverse  outcomes in these populations.<p /> <p>Language: en</p>",
language="en",
issn="1751-7885",
doi="10.1111/eip.13075",
url="http://dx.doi.org/10.1111/eip.13075"
}