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Related Experiment Video

Updated: Jul 7, 2026

Handwriting Analysis Indicates Spontaneous Dyskinesias in Neuroleptic Naïve Adolescents at High Risk for Psychosis

Handwriting Analysis Indicates Spontaneous Dyskinesias in Neuroleptic Naïve Adolescents at High Risk for Psychosis

Published on: November 21, 2013

Self-harm in first-episode psychosis.

Samuel B Harvey¹, Kimberlie Dean, Craig Morgan

¹Department of Psychological Medicine, Institute of Psychiatry, King's College London, Weston Education Centre, 10 Cutcombe Road, London SE5 9RJ, UK. s.harvey@iop.kcl.ac.uk

The British Journal of Psychiatry : the Journal of Mental Science

|March 4, 2008

Summary

Self-harm is common in untreated first-episode psychosis, affecting 11.3% of individuals. Key risk factors include male gender, lower social class, depression, and delayed treatment, highlighting the need for timely intervention.

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Last Updated: Jul 7, 2026

Handwriting Analysis Indicates Spontaneous Dyskinesias in Neuroleptic Naïve Adolescents at High Risk for Psychosis

Handwriting Analysis Indicates Spontaneous Dyskinesias in Neuroleptic Naïve Adolescents at High Risk for Psychosis

Published on: November 21, 2013

Area of Science:

Psychiatry
Clinical Psychology
Public Health

Background:

Self-harm during untreated first-episode psychosis is poorly understood.
This study investigates the characteristics and risk factors of self-harm in this vulnerable population.

Purpose of the Study:

To determine the prevalence, nature, and motivations behind self-harm in the untreated phase of first-episode psychosis.
To identify risk factors associated with self-harm during this critical period.

Main Methods:

The study analyzed data from the AESOP (Aetiology and Ethnicity in Schizophrenia and Other Psychoses) study.
Self-harm episodes were identified in incident psychosis cases presenting to services in London and Nottingham over two years.

Main Results:

11.3% (56 out of 496) of participants reported self-harm before initial treatment.
Independent correlates of self-harm included male gender, lower social class (I/II), depression, and longer untreated psychosis duration.
Increased insight into psychosis was also linked to a higher risk of self-harm.

Conclusions:

Self-harm is a significant issue in the pre-treatment phase of first-episode psychosis.
Both fixed (e.g., gender) and modifiable (e.g., treatment delay, attitudes) risk factors are relevant.
Reducing treatment delays and improving attitudes towards psychosis treatment are crucial for suicide prevention efforts.