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Suicidal behaviour in early psychosis
Author(s) -
Addington J.,
Williams J.,
Young J.,
Addington D.
Publication year - 2004
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1046/j.0001-690x.2003.00232.x
Subject(s) - parasuicide , psychiatry , psychosis , poison control , suicide prevention , depression (economics) , injury prevention , population , suicide attempt , psychology , medicine , cohort , clinical psychology , medical emergency , environmental health , economics , macroeconomics
Objective: This was to determine the prevalence of suicidal behaviours prior to and during the first year of treatment in a comprehensive early psychosis program (EPP) and to identify predictors of suicidal behaviour. Method: In a cohort study of 238 subjects, patients were assessed at initial presentation to an EPP and 1 year later. Measures included a range of demographic variables, suicide attempts, depression, positive and negative symptoms, social functioning and substance misuse. Results: Although 15.1% attempted suicide prior to program entry, only 2.9% made an attempt in the year after program entry and 0.4% completed suicide. No further attempts were seen in those with previous parasuicide. These rates are lower than other published rates for first‐episode patients. Conclusion: It is possible that specifically designed first‐episode programs can reduce the suicidal behaviour in this high‐risk population. The low prevalence of attempted suicide makes modeling predictors difficult.