TY  - JOUR
PY  - 2020//
TI  - Prevalence and predictors of suicidality and non-suicidal self-harm among individuals at clinical high-risk for psychosis: results from a community-recruited  sample
JO  - Early intervention in psychiatry
A1  - Haining, Kate
A1  - Karagiorgou, Olga
A1  - Gajwani, Ruchika
A1  - Gross, Joachim
A1  - Gumley, Andrew I.
A1  - Lawrie, Stephen M.
A1  - Schwannauer, Matthias
A1  - Schultze-Lutter, Frauke
A1  - Uhlhaas, Peter J.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 1751-7885
UR  - http://dx.doi.org/10.1111/eip.13075
ID  - ref1
ER  -