scholarly journals Suicidal behaviour after first-episode psychosis: results from a 1-year longitudinal study in Portugal

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Ricardo Coentre ◽  
Alexandra Fonseca ◽  
Tiago Mendes ◽  
Ana Rebelo ◽  
Elisabete Fernandes ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Suicidal Behaviour ◽  
Suicide Risk ◽  
First Episode Psychosis ◽  
First Episode ◽  
Episode Psychosis ◽  
Baseline Evaluation ◽  
History Of ◽  
Low Levels

Abstract Background Suicide is one of the main causes of excess of premature death in psychotic patients. Published studies found that suicide risk begins in ultra-high risk of psychosis and continues in early years of the disease. Previous studies identifying predictive and risk factors associated with suicidality in first-episode psychosis (FEP) are highly inconsistent. Also, there are relatively few longitudinal studies on suicidal behaviour in FEP. The aim of this study was to examine prevalence, evolution and predictors of suicidal behaviour at baseline and the 12-month follow-up in patients presenting with FEP. Methods One hundred and eighteen patients presenting with FEP were recruited from two early psychosis units in Portugal. A comprehensive assessment examining socio-demographic and clinical characteristics was administered at baseline and the 12-month follow-up. Odds ratio were calculated using logistic regression analyses. McNemar test was used to evaluate the evolution of suicidal behaviour and depression prevalence from baseline to 12 months of follow-up. Results Follow-up data were available for 60 participants from the 118 recruited. Approximately 25.4% of the patients had suicidal behaviour at the baseline evaluation, with a significant reduction during the follow-up period to 13.3% (p = 0.035). A multivariate binary logistic regression showed that a history of suicidal behaviour and depression at baseline independently predicted suicidal behaviour at baseline, and a history of suicidal behaviour and low levels of total cholesterol predicted suicidal behaviour at the 12-month follow-up. A significant proportion of patients also had depression at the baseline evaluation (43.3%), with the last month of suicidal behaviour at baseline independently predicting depression at this time. Conclusions The findings of our study indicate that suicidal behaviour was prevalent on the year after FEP. Patients with a history of suicidal behaviour, depression at baseline and low levels of cholesterol should undergo close evaluation, monitoring and possible intervention in order to reduce suicide risk in the early phases of psychosis.

scholarly journals S125. THE DYNAMIC RELATIONSHIP BETWEEN INSIGHT AND SUICIDAL BEHAVIOUR IN FIRST EPISODE PSYCHOSIS PATIENTS OVER 3-YEAR FOLLOW-UP

2018 ◽  
Vol 44 (suppl_1) ◽  
pp. S374-S374
Author(s):  
Rosa Ayesa-Arriola ◽  
Jose Maria Pelayo-Teran ◽  
Javier-David Lopez-Morinigo ◽  
Manuel Canal-Rivero ◽  
Esther Setien-Suero ◽  
...  
Keyword(s):  
Suicidal Behaviour ◽  
First Episode Psychosis ◽  
First Episode ◽  
Dynamic Relationship ◽  
Episode Psychosis

scholarly journals OPUS study: Suicidal behaviour, suicidal ideation and hopelessness among patients with first-episode psychosis

2002 ◽  
Vol 181 (S43) ◽  
pp. s98-s106 ◽  
Author(s):  
M. Nordentoft ◽  
P. Jeppesen ◽  
M. Abel ◽  
P. Kassow ◽  
L. Petersen ◽  
...  
Keyword(s):  
Suicide Attempt ◽  
Suicidal Behaviour ◽  
Female Gender ◽  
First Episode Psychosis ◽  
Integrated Treatment ◽  
High Risk Group ◽  
First Episode ◽  
Treatment As Usual ◽  
Episode Psychosis

BackgroundPatients with first-episode psychosis comprise a high-risk group in terms of suicide.AimsTo identify predictive factors for suicidal behaviour and to examine the effect of integrated treatment on suicidal behaviour and hopelessness.MethodA total of 341 patients with a first-episode schizophrenia-spectrum disorder were randomised to integrated treatment or treatment as usual.ResultsDuring the 1-year follow-up period, 11% attempted suicide. This was associated with female gender, hopelessness, hallucinations and suicide attempt reported at baseline, with the two latter variables being the only significant ones in the final multivariate model. The integrated treatment reduced hopelessness.ConclusionsHallucinations and suicide attempt before inclusion in the study were the most significant predictors of suicide attempt in the follow-up period.

scholarly journals The role of premorbid personality and social cognition in suicidal behaviour in first-episode psychosis: A one-year follow-up study

2017 ◽  
Vol 256 ◽  
pp. 13-20 ◽  
Author(s):  
Manuel Canal-Rivero ◽  
J.D. Lopez-Moriñigo ◽  
M.L. Barrigón ◽  
S. Perona-Garcelán ◽  
C. Jimenez-Casado ◽  
...  
Keyword(s):  
Social Cognition ◽  
Suicidal Behaviour ◽  
First Episode Psychosis ◽  
First Episode ◽  
Premorbid Personality ◽  
Follow Up Study ◽  
Episode Psychosis ◽  
One Year

scholarly journals Suicidal behaviour and mortality in first-episode psychosis: the OPUS trial

2007 ◽  
Vol 191 (S51) ◽  
pp. s140-s146 ◽  
Author(s):  
Mette Bertelsen ◽  
Pia Jeppesen ◽  
Lone Petersen ◽  
Anne Thorup ◽  
Johan ⊘hlenschlæger ◽  
...  
Keyword(s):  
High Risk ◽  
Suicidal Behaviour ◽  
Rating Scales ◽  
First Episode Psychosis ◽  
Psychotic Symptoms ◽  
First Episode ◽  
Suicidal Thoughts ◽  
Episode Psychosis ◽  
Suicidal Plans

BackgroundThose with first-episode psychosis are at high-risk of suicideAimsTo identify predictive factors for suicidal thoughts, plans and attempts, and to investigate the rate of suicides and other deaths during the 5 years after first diagnosis and initiation of treatmentMethodA longitudinal, prospective, 5-year follow-up study of 547 individuals with first-episode schizophrenia spectrum psychosis. Individuals presenting for their first treatment in mental health services in two circumscribed urban areas in Denmark were included in a randomised controlled trial of integrated v. standard treatment. All participants were followed in the Danish Cause of Death Register for 5 years. Suicidal behaviour and clinical and social status were assessed using validated interviews and rating scales at entry, and at 1- and 2-year follow-upsResultsSixteen participants died during the follow-up. We found a strong association between suicidal thoughts, plans and previous attempts, depressive and psychotic symptoms and young age, and with suicidal plans and attempts at 1- and 2-year follow-upConclusionsIn this first-episode cohort depressive and psychotic symptoms, especially hallucinations, predicted suicidal plans and attempts, and persistent suicidal behaviour and ideation were associated with high risk of attempted suicide

scholarly journals Patterns and predictors of hospitalisation in first-episode psychosis

2001 ◽  
Vol 178 (6) ◽  
pp. 518-523 ◽  
Author(s):  
Attila Sipos ◽  
Glynn Harrison ◽  
David Gunnell ◽  
Shazad Amin ◽  
Swaran P. Singh
Keyword(s):  
Negative Symptoms ◽  
First Episode Psychosis ◽  
Psychiatric Services ◽  
First Episode ◽  
Psychotic Episode ◽  
Duration Of Untreated Illness ◽  
Specialist Services ◽  
Increased Risk ◽  
Episode Psychosis

BackgroundLittle is known about predictors of hospitalisation in patients with first-episode psychosis.AimsTo identify the pattern and predictors of hospitalisation of patients with a first psychotic episode making their first contact with specialist services.MethodThree-year follow-up of a cohort of 166 patients with a first episode of psychosis making contact with psychiatric services in Nottingham between June 1992 and May 1994.ResultsEighty-eight (53.0%) patients were admitted within 1 week of presentation; 32 (19.3%) were never admitted during the 3 years of follow-up. Manic symptoms at presentation were associated with an increased risk of rapid admission and an increased overall risk of admission; negative symptoms and a longer duration of untreated illness had an increased risk of late admission.ConclusionsCommunity-oriented psychiatric services might only delay, rather than prevent, admission of patients with predominantly negative symptoms and a longer duration of untreated illness. First-episode studies based upon first admissions are likely to be subject to selection biases, which may limit their representativeness.

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