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Suicidal behaviour in early psychosis.

J Addington1, J Williams, J Young

  • 1Department of Psychiatry, University of Calgary, Calgary, Alberta, Canada. jean_addington@camh.net

Acta Psychiatrica Scandinavica
|January 17, 2004
PubMed
Summary
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Early psychosis programs significantly reduce suicidal behaviors in high-risk individuals. A study found a substantial decrease in suicide attempts after program entry, suggesting specialized care benefits patients.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Public Health

Background:

  • Early psychosis is a critical period for intervention.
  • Suicidal behavior is a significant concern in individuals experiencing first-episode psychosis.
  • Comprehensive early psychosis programs (EPPs) aim to improve outcomes.

Purpose of the Study:

  • To determine the prevalence of suicidal behaviors before and during the first year of treatment in an EPP.
  • To identify predictors of suicidal behavior in this population.

Main Methods:

  • A cohort study of 238 subjects was conducted.
  • Patients were assessed at EPP entry and 1 year later.
  • Data collected included demographics, suicide attempts, depression, symptoms, social functioning, and substance misuse.

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Main Results:

  • 15.1% of patients attempted suicide before EPP entry.
  • Only 2.9% attempted suicide in the year after EPP entry; 0.4% completed suicide.
  • Patients with prior suicide attempts did not have further attempts post-entry. These rates are lower than reported for other first-episode patients.

Conclusions:

  • Comprehensive EPPs may reduce suicidal behavior in high-risk populations.
  • The low prevalence of attempted suicide complicates predictor modeling.