Suicidal Behavior and Personality Traits Contribute to Disability in First‐episode Psychosis: A 1‐Year Follow‐up Study

Canal‐Rivero, Manuel; López-Moriñigo, Javier-David; Barrigon, M.; Ayesa-Arriola, Rosa; Crespo‐Facorro, Benedicto; Ruiz‐Veguilla, Miguel; Obiols-Llandrich, Jordi E.

doi:10.1111/sltb.12470

Cited by 9 publications

(8 citation statements)

References 44 publications

(45 reference statements)

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“…This percentage is slightly higher than the one (23%) observed by Flanagan and Compton (2012) on 109 FEP subjects, aged 18 to 50 years, with recent hospitalization. However, it is substantially in line with what reported on lifetime prevalence of suicidal ideation in clinical populations of FEP inpatients and outpatients aged 15 to 50 years, showing rates ranging from 26% to 40% (Canal‐Rivero et al, 2019; Pelizza et al, 2019f). Together with the evidence of approximately 3% of current suicide attempts in our FEP total sample, this finding confirms the need for a routine monitoring and more targeted intervention strategies addressing suicide risk and prevention in FEP adolescents and adults (Pelizza, Azzali, et al, 2019c, Pelizza, Poletti, et al, 2019f).…”

Section: Discussionsupporting

confidence: 90%

The ‘Parma‐Early Psychosis’ programme: Characterization of help‐seekers with first episode psychosis

Landi

Leuci

Quattrone

et al. 2020

Early Intervention Psych

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Aim Research on early psychosis paradigm has demonstrated the importance of early intervention (EI) in reducing illness severity and persistence. From January 2013, the Parma Department of Mental Health developed a specific care pathway [the ‘Parma‐Early Psychosis’ (Pr‐EP) programme] as a diffused EI infrastructure aimed to offer an evidence‐based protocol of care to help‐seekers with a first episode psychosis (FEP). Aim of this study was to investigate sources of referral, drop‐out rate, sociodemographic and clinical characteristics of patients enrolled in the Pr‐EP programme during the first 6 years of activity. Methods Participants (n = 279) were individuals (aged 12‐54 years) completing an ad‐hoc socio‐demographic/clinical schedule. Results At baseline, the most frequent diagnoses were schizophreniform disorder (30.5%) and schizophrenia (29.4%). Only 31 (11.1%) subjects dropped out during the first year of treatment. FEP participants were mainly referred by general practitioners (36.9%) and emergency room/general hospital (28.7%). FEP individuals who were referred by emergency room/general hospital showed a higher percentage of current suicidal ideation compared to those entering the Pr‐EP protocol through other sources of referrals. Conclusions EI in FEP help‐seekers within Italian public mental health services is feasible and desirable, also in adolescence, where the risk of falling through the child‐adult service gap is high.

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Section: Discussionsupporting

confidence: 90%

The ‘Parma‐Early Psychosis’ programme: Characterization of help‐seekers with first episode psychosis

Landi

Leuci

Quattrone

et al. 2020

Early Intervention Psych

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“…Moreover, Joiner et al (2001) reported that people with schizotypal symptoms were more associated with self-hatred and suicidality, and that the combination of self-hatred and a diagnostic status of schizophrenia-spectrum symptoms may be a predictor of suicidality. The early intervention of suicidality targeting specific personality traits may be beneficial to decreasing suicide rates (Canal-Rivero et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

The Mediator Effect of Meaningfulness on the Relationship Between Schizotypy Traits and Suicidality

Liu

Zhang

et al. 2020

Front. Psychol.

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Introduction: Previous studies have found that schizotypy can predict suicide, and that meaningfulness has influential effects on suicidality in the general population. However, it is still not clear whether meaningfulness is associated with suicidality in individuals with schizotypy. The aim of this study was to assess the mediating effects of meaningfulness in the relationship between schizotypy and suicidality. Method: We recruited 2,615 university students (including undergraduates and postgraduates; mean age = 18.35, SD = 0.81; males, 39%) to participate in our study, and used the Meaningful Life Measure (Chinese, revised) to assess their experiences of meaningfulness, the Suicidal Behaviors Questionnaire (Chinese version) to evaluate participants' suicidal thoughts and attempts, and the Schizotypal Personality Questionnaire to examine their personal schizotypal traits. Results: Meaningfulness was found to be inversely related to the other two factors, and schizotypy was positively associated with suicidality. The correlation between schizotypy and suicidality was reduced when meaningfulness was included, which may suggest that meaningfulness can partly mediate this relationship, accounting for 55.47% of the association. Conclusions: Prior research has suggested that assessing meaningfulness could provide more detailed information about suicide risk in individuals with schizotypy. Our study found that improving perceptions of meaningfulness can be an effective intervention in reducing suicide risk among people with schizotypy.

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“…Suicidal behavior may also be associated with functional aspects of mental health such as social functioning, disability, and quality of life (QOL). However, this issue has rarely been investigated, and most studies have been cross-sectional in design [5,6].…”

Section: Introductionmentioning

confidence: 99%

Suicidal Ideation Predicts Functioning and Quality of Life Over One Year after Acute Coronary Syndrome

Kim

Kang

et al. 2019

Psychiatry Investig

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ObjectiveThis study investigated the associations of suicidal ideation (SI) evaluated within 2 weeks after an acute coronary syndrome (ACS) episode with functioning, disability, and quality of life (QOL) at a 1-year follow-up assessment. MethodsThis study recruited 1152 consecutive patients within 2 weeks of a confirmed ACS episode; 828 of these patients who were followed up 1 year later comprised the study sample. SI was determined at baseline using the “suicidal thoughts” item of the MontgomeryÅsberg Depression Rating Scale. At both examinations, social and occupational functioning were measured by the Social and Occupational Functioning Assessment Scale (SOFAS), disability was estimated by World Health Organization Disability Assessment Schedule-12 (WHODAS-12), and QOL was assessed using the World Health Organization Quality of Life-Abbreviated form (WHOQOL-BREF). Baseline covariates included sociodemographic data, depression characteristics, cardiovascular risk factors, and current cardiac status. ResultsSI at baseline was independently associated with less improved or decreased scores on the SOFAS, WHODAS-12, and WHOQOL-BREF over 1 year after adjusting for relevant covariates. ConclusionSI within 2 weeks of an ACS episode predicted poorer functioning and QOL at a 1-year follow-up assessment. Thus, the simple evaluation of SI in patients with recently developed ACS could be helpful in screening for functioning and QOL during the chronic phase of this disease.

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Suicidal Behavior and Personality Traits Contribute to Disability in First‐episode Psychosis: A 1‐Year Follow‐up Study

Abstract: Suicidal behavior prevention could improve psychosocial functioning, particularly personal care, in FEP. In addition, sociopathic and schizotypy personality traits as well as poor premorbid adjustment during late adolescence appear to be useful early markers of future disability.

Cited by 9 publications

References 44 publications

The ‘Parma‐Early Psychosis’ programme: Characterization of help‐seekers with first episode psychosis

The ‘Parma‐Early Psychosis’ programme: Characterization of help‐seekers with first episode psychosis

The Mediator Effect of Meaningfulness on the Relationship Between Schizotypy Traits and Suicidality

Suicidal Ideation Predicts Functioning and Quality of Life Over One Year after Acute Coronary Syndrome

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