Suicidality in first episode psychosis.
Many studies have confirmed that the risk of suicide is high in the period after first presentation. There is relatively little information about the risk of suicide using illness onset as the starting point. We assessed suicidality in a cohort of 166 individuals from an urban catchment area during the period of untreated psychosis and at 4 year follow up. Nearly 10% of individuals attempted suicide prior to presentation. Four years later 18% had made a suicide attempt and 3% completed suicide. Suicide attempts prior to presentation were associated with a longer duration of untreated psychosis.
Clarke
Mary
M
Stanley Research Unit, Department of Adult Psychiatry, Hospitaller Order of St John of God, Cluain Mhuire Service, Blackrock, Dublin, Ireland. mcandek@gofree.indigo.ie
Whitty
Peter
P
Browne
Stephen
S
Mc Tigue
Orfhlaith
O
Kinsella
Anthony
A
Waddington
John L
JL
Larkin
Conall
C
O'Callaghan
Eadbhard
E
D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011569:Psychiatric Status Rating Scales; D011618:Psychotic Disorders / Q000175:diagnosis*; D012307:Risk Factors; D013406:Suicide, Attempted