Suicidal behaviour in first-episode non-affective psychosis: Specific risk periods and stage-related factors

Ayesa-Arriola, Rosa; Alcaraz, Elisa García; Vicente-Hernández, Begoña; Pérez-Iglesias, Rocí­o; Moríñigo, Javier David López; Duta, Rina; David, Anthony; Tabarés‐Seisdedos, Rafael; Crespo‐Facorro, Benedicto

doi:10.1016/j.euroneuro.2015.09.008

Cited by 61 publications

(86 citation statements)

References 52 publications

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“…On the other hand, some, but not all, aspects of insight may be related to demoralization and increased suicidality , despite recent literature (e.g. Ayesa-Arriola et al, 2015), including this study, not supporting this assertion. Moreover, it seems that those aspects of insight related to compliance and engagement appear to mediate the association of insight with depression, i.e.…”

Section: Clinical Implications and Conclusioncontrasting

confidence: 53%

Insight and suicidality in psychosis: A cross-sectional study

Massons

López-Moriñigo

Pousa

et al. 2017

Psychiatry Research

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Insight and suicidality in psychosis: A crosssectional study, Psychiatry Research, http://dx.doi.org/10.1016Research, http://dx.doi.org/10. /j.psychres.2017 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting galley proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Insight scale total score and two specific domains (awareness of "disturbed thinking and loss of control over the situation" and "having a vague feeling that something is wrong") were related to suicidality. However, no insight dimensions survived the multivariable regression model, which found depression and previous suicidal behaviour to predict suicidality. Conclusions: Suicidality in psychosis was linked with some insight dimensions: awareness of mental illness and awareness of social consequences, but not compliance. Depression and previous suicidal behaviour mediated the associations with insight; thus, predicting suicidality.

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Section: Clinical Implications and Conclusioncontrasting

confidence: 53%

Insight and suicidality in psychosis: A cross-sectional study

Massons

López-Moriñigo

Pousa

et al. 2017

Psychiatry Research

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“…The greatest suicide risk was found during the month before and 2 months after first contact with psychiatric services (i.e., 'early' attempts) (Ayesa-Arriola et al,2015). Nearly half of Foley’s sample reported suicide ideation in the month prior to first presentation and 10 subjects (9%) made a suicide attempt in first episode of psychosis (Foley et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

Self-harm and suicide attempts in Schizophrenia

Jakhar

Beniwal

Bhatia

et al. 2017

Asian Journal of Psychiatry

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Background The risk of suicide among persons with schizophrenia (SZ) is higher than in general population, with multiple contributory factors. We assessed the prevalence of risk of deliberate self-harm and suicide attempts, along with associated socio-demographic and clinical factors in a group of SZ outpatients (n=61) as part of a larger study on overall schizophrenia-associated risks. Aims To investigate factors associated with risk of deliberate self-harm and suicide among persons with schizophrenia. Method Out of 270 SZ participants evaluated for various risks using Ram Manohar Lohia Risk Assessment Interview (RML-RAI), 61 reported risk of self-harm including suicide attempt/s. The factors associated with this risk were further evaluated on clinical details and Diagnostic Interview for Genetic Studies. Results Risk of reported self-harm was 22.59%. Among them, 10% had attempted suicide at least once. Current age and past month Global Assessment of Functioning score from DIGS (GAF) were significantly correlated with suicide attempt. Attempters had significantly lower current GAF score, indicating poorer functioning. Among 27 attempters, 9 attempted at the onset of illness while 6 others attempted suicide within one year. Most common method of attempt was ingestion of insecticides or overdose of medication, followed by hanging or jumping from height. Conclusion In our hospital-based sample of suicide attempters, 10% had attempted suicide, among them over 55% within first year of illness. Attempters were significantly older than non-attempters and suffered from significantly more severe illness than non-attempters. Positive symptoms were significantly associated with attempt, irrespective of time at which suicide was attempted.

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“…High suicide attempt (SA) rates have been found in individuals with psychotic disorders (Ayesa‐Arriola et al., ; Challis, Nielssen, Harris, & Large, ). Previous studies have also shown the negative impact of SA on family functioning of bipolar disorder and major depressive disorder patients (Berutti, Dias, Pereira, Lafer, & Nery, ; McDermut, Miller, Solomon, Ryan, & Keitner, ).…”

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confidence: 99%