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Stressful Life Events and Suicidality in First-Episode Psychosis.
Alícia Colomer-Salvans1,2,3, Clara Serra-Arumí1,4, Regina Vila-Badia1,2
1Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain.
Clinical Psychology & Psychotherapy
|April 22, 2026
Summary
Stressful life events (SLEs) significantly increase suicide risk and attempts in individuals with first-episode psychosis (FEP). Early screening for SLEs and suicidality, alongside stress management, is crucial for this population.
Area of Science:
- Psychiatry and Mental Health
- Psychosocial Research
- Clinical Psychology
Background:
- First-episode psychosis (FEP) is a critical period for intervention.
- Understanding risk factors for suicidality in FEP is essential for prevention.
- Stressful life events (SLEs) are implicated in various mental health conditions.
Purpose of the Study:
- To examine the association between cumulative and domain-specific SLEs and suicidality in FEP.
- To identify specific types of SLEs linked to suicide risk, ideation, and attempts.
- To explore the role of sociodemographic, clinical, and psychosocial factors in this relationship.
Main Methods:
- A cross-sectional study of 97 individuals with FEP was conducted.
- Lifetime cumulative and domain-specific SLEs were assessed using the Questionnaire of Stressful Life Events (QSLE).
- Suicidality was measured using the Plutchik Scale of Suicide Risk (RS), with multivariate regression analyses performed.
Main Results:
- Higher cumulative SLEs were associated with increased suicide risk and attempts.
- Partner/legal SLEs correlated with suicide risk, while educational/family SLEs were linked to suicide attempts.
- Suicide risk was associated with depression and perceived stress; ideation with perceived stress and younger age; attempts with depression and male sex.
Conclusions:
- Cumulative and specific SLEs (interpersonal, educational, legal) are significant predictors of suicide risk and attempts in FEP.
- Perceived stress, depression, and sociodemographic factors also contribute to suicidality in this population.
- Screening for SLEs and suicidality, coupled with stress-management interventions, is recommended for individuals with FEP.
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