Course and predictors of suicidality over the first two years of treatment in first-episode schizophrenia spectrum psychosis

Ingrid Melle, Jan Olav Johannessen, Svein Friis, Ulrik Haahr, Inge Joa, Tor K Larsen, Stein Opjordsmoen, Bjørn R Rund, Erik Simonsen, Per Vaglum, Thomas McGlashan

32 Citations (Scopus)

Abstract

The objective of this study was to investigate the course of suicidal behavior over the first 2 years of comprehensive, integrated treatment in two groups of patients with DSM-IV first episode schizophrenia spectrum psychosis, where one group was recruited through an early detection program. We have previously shown that the rate of severe suicidal behavior was lower in the earlier detected group than in the other. First episode schizophrenia is a high risk period for suicidality, but we found low rates of completed suicides and suicide attempts in both groups after 2 years in treatment, with no between-groups differences. Severe suicidality (plans and attempts) was predicted by drug abuse, dissatisfaction with life and severe suicidality at start of treatment.
Original languageEnglish
JournalArchives of suicide research : official journal of the International Academy for Suicide Research
Volume14
Issue number2
Pages (from-to)158-70
Number of pages13
DOIs
Publication statusPublished - Apr 2010

Keywords

  • Adolescent
  • Adult
  • Aged
  • Diagnostic and Statistical Manual of Mental Disorders
  • Disease Progression
  • Female
  • Humans
  • Male
  • Middle Aged
  • Predictive Value of Tests
  • Prospective Studies
  • Psychotherapy
  • Psychotic Disorders
  • Schizophrenia
  • Suicide, Attempted
  • Time Factors
  • Young Adult

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