title: Insight and suicidality in psychosis: A cross-sectional study.
abstract: We aimed to test whether specific insight dimensions are associated with suicidality in patients with psychotic disorders.
  
  
  
  143 patients with schizophrenia spectrum disorders were recruited. Suicidality was assessed by item 8 of the Calgary Depression Scale for Schizophrenia (CDSS). Insight was measured by the Scale of Unawareness of Mental Disorder (SUMD) and the Markova and Berrios Insight Scale. Bivariate analyses and multivariable logistic regression models were conducted.
  
  
  
  Those subjects aware of having a mental illness and its social consequences had higher scores on suicidality than those with poor insight. Awareness of the need for treatment was not linked with suicidality. The Markova and Berrios Insight scale total score and two specific domains (awareness of "disturbed thinking and loss of control over the situation" and "having a vague feeling that something is wrong") were related to suicidality. However, no insight dimensions survived the multivariable regression model, which found depression and previous suicidal behaviour to predict suicidality.
  
  
  
  Suicidality in psychosis was linked with some insight dimensions: awareness of mental illness and awareness of social consequences, but not compliance. Depression and previous suicidal behaviour mediated the associations with insight; thus, predicting suicidality.
authors.affiliation: Mental Health Deparment, Corporació Sanitària Parc Taulí- Universitat Autònoma de Barcelona, Campus d'Excel·lència Internacional, Bellaterra 08193, Spain. Electronic address: cmassons@tauli.cat.
authors.forename: Carmen
authors.initials: C
authors.lastname: Massons
authors.affiliation: King's College of London, Institute of Psychiatry, Psychology and Neurosciences, Department of Psychosis Studies, London, UK.
authors.forename: Javier-David
authors.initials: JD
authors.lastname: Lopez-Morinigo
authors.affiliation: Mental Health Deparment, Corporació Sanitària Parc Taulí- Universitat Autònoma de Barcelona, Campus d'Excel·lència Internacional, Bellaterra 08193, Spain.
authors.forename: Esther
authors.initials: E
authors.lastname: Pousa
authors.affiliation: Institut de Neuropsiquiatria i Addiccions, Parc de Salut Mar, Barcelona, Spain; IMIM ( Hospital del Mar Medical Research Institute), Barcelona, Spain.
authors.forename: Ada
authors.initials: A
authors.lastname: Ruiz
authors.affiliation: Research and Development Unit, Parc Sanitari San Joan de Dèu - CIBERSAM, Sant Boi de Llobregat, Barcelona, Spain.
authors.forename: Susana
authors.initials: S
authors.lastname: Ochoa
authors.affiliation: Research and Development Unit, Parc Sanitari San Joan de Dèu - CIBERSAM, Sant Boi de Llobregat, Barcelona, Spain.
authors.forename: Judith
authors.initials: J
authors.lastname: Usall
authors.affiliation: Department of Research Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Calzada México-Xochimilco 101, San Lorenzo Huipulco, Tlalpan, México D.F. 14370, Mexico.
authors.forename: Lourdes
authors.initials: L
authors.lastname: Nieto
authors.affiliation: Mental Health Deparment, Corporació Sanitària Parc Taulí- Universitat Autònoma de Barcelona, Campus d'Excel·lència Internacional, Bellaterra 08193, Spain; Department of Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona, 08193 Bellaterra, Barcelona, Spain; Centro de Investigación Biomédica En Red de Salud Mental, CIBERSAM, Sabadell, Spain.
authors.forename: Jesus
authors.initials: J
authors.lastname: Cobo
authors.affiliation: King's College of London, Institute of Psychiatry, Psychology and Neurosciences, Department of Psychosis Studies, London, UK.
authors.forename: Anthony S
authors.initials: AS
authors.lastname: David
authors.affiliation: King's College London, Institute of Psychiatry, Psychology and Neurosciences, Department of Psychological Medicine, London, UK.
authors.forename: Rina
authors.initials: R
authors.lastname: Dutta
mesh_terms: D000328:Adult; D001364:Awareness; D003430:Cross-Sectional Studies; D003863:Depression / Q000523:psychology; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D011618:Psychotic Disorders / Q000523:psychology*; D059020:Suicidal Ideation
keywords: Depression; Insight dimensions; Schizophrenia; Schizophrenia spectrum disorders; Suicidal ideation; Suicide attempt