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Early insight predicts depression and attempted suicide after 4 years in first‐episode schizophrenia and schizophreniform disorder
Author(s) -
Crumlish N.,
Whitty P.,
Kamali M.,
Clarke M.,
Browne S.,
McTigue O.,
Lane A.,
Kinsella A.,
Larkin C.,
O'Callaghan E.
Publication year - 2005
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 - 10.1111/j.1600-0447.2005.00620.x
Subject(s) - schizophreniform disorder , psychiatry , mental illness , psychology , schizophrenia (object oriented programming) , depression (economics) , presentation (obstetrics) , psychosis , poison control , suicide prevention , clinical psychology , mental health , medicine , schizoaffective disorder , medical emergency , macroeconomics , radiology , economics
Objective: To map the development of insight in the 4 years after presentation with first‐episode schizophrenia and schizophreniform disorder and to determine the effects of evolving insight on depression and the likelihood of attempted suicide. Method: We assessed 101 individuals at presentation, 6 months and 4 years. We measured insight, including recognition of mental illness, recognition of need for treatment and ability to relabel psychotic symptoms. We measured depression and recorded all suicide attempts. Results: Insight improved with time. Recognition of mental illness at 6 months predicted depression and attempted suicide at 4 years. Conclusion: Six months after presentation, the greater the acknowledgement by people that they had a mental illness, the more depressed they were at 4 years and the greater the likelihood that they would attempt suicide by 4 years. This may have implications for disclosure of diagnosis.