TY  - JOUR
PY  - 2008//
TI  - Suicidality prior to presentation in first-episode psychosis
JO  - Early intervention in psychiatry
A1  - Foley, Sharon
A1  - Jackson, Deirdre
A1  - McWilliams, Stephen
A1  - Renwick, Laoise
A1  - Sutton, Marie
A1  - Turner, Niall
A1  - Kinsella, Anthony
A1  - O'Callaghan, Eadbhard
SP  - 242
EP  - 246
VL  - 2
IS  - 4
N2  - 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.<p /> <p>Language: en</p>
LA  - en
SN  - 1751-7885
UR  - http://dx.doi.org/10.1111/j.1751-7893.2008.00084.x
ID  - ref1
ER  -