title: Suicidality prior to presentation in first-episode psychosis.
abstract: BACKGROUND
  Suicide and attempted suicide contribute significantly to the increased mortality and morbidity associated with psychotic illness. The period of highest risk is reportedly in the early years of illness. While the literature concentrates on completed suicide in chronic psychosis, less is understood about attempted suicide in first-episode psychosis (FEP).
  
  
  OBJECTIVE
  We aimed to examine rates and correlates of suicide attempts in individuals with FEP.
  
  
  METHODS
  Individuals in this study were all those, both in- and outpatients, diagnosed with FEP over a 2-year period, from a defined catchment area. Assessment included Structured Clinical Interview for DSM-IV, Schedule for Assessment of Positive Symptoms, Schedule for Assessment of Negative Symptoms, Calgary Scale, Beiser Scale and Birchwood Insight Scale.
  
  
  RESULTS
  Of 107 patients with FEP, 50 (47%) individuals reported suicidal ideation: 41 (38%) in the month prior to first presentation. Ten individuals (9%) made a suicide attempt. The only factor significantly associated with previous suicide attempt was higher insight scores at first presentation (P = 0.04).
  
  
  CONCLUSIONS
  Individuals with a history of suicide attempt tend to have higher insight into having a mental illness at first presentation.
authors.affiliation: DETECT Service, Dun Laoghaire, Co. Dublin, Ireland.
authors.forename: Sharon
authors.initials: S
authors.lastname: Foley
authors.forename: Deirdre
authors.initials: D
authors.lastname: Jackson
authors.forename: Stephen
authors.initials: S
authors.lastname: McWilliams
authors.forename: Laoise
authors.initials: L
authors.lastname: Renwick
authors.forename: Marie
authors.initials: M
authors.lastname: Sutton
authors.forename: Niall
authors.initials: N
authors.lastname: Turner
authors.forename: Anthony
authors.initials: A
authors.lastname: Kinsella
authors.forename: Eadbhard
authors.initials: E
authors.lastname: O'Callaghan
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D011569:Psychiatric Status Rating Scales; D011618:Psychotic Disorders / Q000523:psychology*; D012307:Risk Factors; D018709:Statistics, Nonparametric; D059020:Suicidal Ideation; D013405:Suicide / Q000523:psychology* / Q000706:statistics & numerical data; D013406:Suicide, Attempted / Q000523:psychology / Q000706:statistics & numerical data