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Insight and risk of suicidal behaviour in two first-episode psychosis cohorts: effects of previous suicide attempts and depression

Lopez-Morinigo, Javier-David; Di Forti, Marta; Ajnakina, Olesja; Wiffen, Benjamin D.; Morgan, Kevin; Doody, Gillian A.; Jones, Peter B.; Ayesa-Arriola, Rosa; Canal-Rivero, Manuel; Crespo-Facorro, Benedicto; Murray, Robin M.; Dazzan, Paola; Morgan, Craig; Dutta, Rina; David, Anthony S.

Authors

Javier-David Lopez-Morinigo

Marta Di Forti

Olesja Ajnakina

Benjamin D. Wiffen

Kevin Morgan

Peter B. Jones

Rosa Ayesa-Arriola

Manuel Canal-Rivero

Benedicto Crespo-Facorro

Robin M. Murray

Paola Dazzan

Craig Morgan

Rina Dutta

Anthony S. David



Abstract

Background

The role of insight dimensions – illness recognition (IR), symptoms relabelling (SR), treatment compliance (TC) - in suicide risk in first-episode psychosis (FEP) remains unclear.

Method

The AESOP (n = 181) and GAP (n = 112) FEP cohorts were followed-up over 10- and 5 years. Survival analysis modelled time to first suicidal event in relation to baseline scores on the Schedule for the Assessment of Insight, whilst adjusting for demographic, clinical, psychopathological and neuropsychological variables.

Results

AESOP: those with previous suicide attempts scored higher on IR (7.6 ± 1.9 vs. 5.9 ± 3.0, p 

Citation

Lopez-Morinigo, J., Di Forti, M., Ajnakina, O., Wiffen, B. D., Morgan, K., Doody, G. A., …David, A. S. (2019). Insight and risk of suicidal behaviour in two first-episode psychosis cohorts: effects of previous suicide attempts and depression. Schizophrenia Research, 204, 80-89. doi:10.1016/j.schres.2018.09.016

Journal Article Type Article
Acceptance Date Sep 15, 2018
Online Publication Date Sep 22, 2018
Publication Date 2019-02
Deposit Date Oct 8, 2018
Publicly Available Date Sep 23, 2019
Journal Schizophrenia Research
Print ISSN 0920-9964
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 204
Pages 80-89
DOI https://doi.org/10.1016/j.schres.2018.09.016
Keywords Insight; Suicidal behaviour risk; First-episode psychosis; Depression
Public URL https://nottingham-repository.worktribe.com/output/1150268
Publisher URL https://www.sciencedirect.com/science/article/pii/S0920996418305747

Files

SCHRES-D-18-00516R1 (3) (1.2 Mb)
PDF

Publisher Licence URL
http://creativecommons.org/licenses/by-nc-nd/4.0/





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