title: One-year follow-up study of first suicide attempts in first episode psychosis: Personality traits and temporal pattern.
abstract: The highest suicide rates occur after psychiatric hospitalization or soon after discharge. In addition to other factors, personality traits have been suggested as predictors of suicide attempts (SA) after first episode psychosis (FEP). In this study we examined their temporal pattern and the influence of personality traits on first suicide attempts (fSA) during one year after FEP.
  
  
  
  One-year follow-up of 65 FEP patients. Bivariate and multivariable analyses were performed to explore the relationship between personality traits and fSA. This analysis was also adjusted for a set of sociodemographic, clinical and psychopathological variables.
  
  
  
  fSAs in the six months following FEP were predicted by higher scores in passive-dependent personality traits (OR = 2.42, 95% CI = 1.15-5.09) and severity of symptoms at onset (OR = 2.00, 95% CI = 1.07-3.76). Severity of symptoms at onset (OR = 2.71, CI = 1.15-6.39) was the most significant predictor of fSA from six to twelve months after FEP. Seventy percent of fSA occurred during the first six months after FEP, decreasing considerably afterwards.
  
  
  
  Our study suggests that personality traits play a role in fSA after FEP. Specifically, passive-dependent personality traits emerged as a predictor of fSA in the six months following FEP. Severity of symptoms at onset predicted early and late first suicide attempts. We also found that risk of fSA is highest during the six months following FEP. These results can contribute to the implementation of prevention program.
authors.affiliation: Hospital Universitario Virgen del Rocío, Seville, Spain; Department of Clinical and Health Psychology, Universitat Autònoma de Barcelona, Barcelona, Spain.
authors.forename: Manuel
authors.initials: M
authors.lastname: Canal-Rivero
authors.affiliation: Department of Psychiatry, Hospital Fundación Jiménez Díaz and IIS Fundación Jiménez Díaz, Madrid, Spain.
authors.forename: Maria Luisa
authors.initials: ML
authors.lastname: Barrigón
authors.affiliation: Hospital Universitario Virgen del Rocío, Seville, Spain; Department of Personality, Evaluation and Psychological Treatment, University of Seville, Seville, Spain.
authors.forename: Salvador
authors.initials: S
authors.lastname: Perona-Garcelán
authors.affiliation: Department of Personality, Evaluation and Psychological Treatment, University of Seville, Seville, Spain.
authors.forename: Juan F
authors.initials: JF
authors.lastname: Rodriguez-Testal
authors.affiliation: Universidad de Sevilla, Seville, Spain.
authors.forename: Lucas
authors.initials: L
authors.lastname: Giner
authors.affiliation: Department of Clinical and Health Psychology, Universitat Autònoma de Barcelona, Barcelona, Spain.
authors.forename: Jordi E
authors.initials: JE
authors.lastname: Obiols-Llandrich
authors.affiliation: Grupo Neurodesarrollo y Psicosis Instituto de Biomedicina de Sevilla (IBIS), Hospital Universitario Virgen del Rocio /CSIC/Universidad de Sevilla UGC Salud Mental HVR. Electronic address: miguel.ruiz.veguilla.sspa@juntadeandalucia.es.
authors.forename: Miguel
authors.initials: M
authors.lastname: Ruiz-Veguilla
mesh_terms: D000293:Adolescent; D000328:Adult; D003859:Dependent Personality Disorder / Q000150:complications / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010551:Personality; D011618:Psychotic Disorders / Q000150:complications / Q000523:psychology*; D012307:Risk Factors; D012720:Severity of Illness Index; D013406:Suicide, Attempted / Q000523:psychology*; D055815:Young Adult