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Article: The relationships of suicidal ideation with symptoms, neurocognitive function, and psychological factors in patients with first-episode psychosis

TitleThe relationships of suicidal ideation with symptoms, neurocognitive function, and psychological factors in patients with first-episode psychosis
Authors
KeywordsSuicidal ideation
Depression
First-episode psychosis
Hopelessness
Negative symptoms
Issue Date2014
PublisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/schres
Citation
Schizophrenia Research, 2014, v. 157, n. 1-3, p. 12-18 How to Cite?
AbstractBackground: Individuals with first-episode psychosis (FEP) have markedly elevated risk for suicide. Previous research on suicidality in early psychosis mainly focused on attempted and completed suicide. Data regarding risk factors for suicidal ideation, which is a common antecedent and predictor of suicide attempt, were limited. This study aimed to examine the prevalence of suicidal ideation and its relationships with clinical, neurocognitive and psychological factors in FEP patients. Method: Eighty-nine Chinese patients aged 15 to 25. years presenting with FEP to specialized early intervention service were recruited. A comprehensive set of assessments examining pre-treatment illness characteristics, symptom severity, neurocognitive function, and psychological factors were administered. Current suicidal ideation and history of suicide attempt were systematically evaluated. Results: Approximately 42% of patients expressed suicidal ideation after service entry. Univariate regression analyses found that suicidal ideation was significantly associated with past suicide attempt, depressive symptoms, emotion expressivity, hopelessness, future expectation, attentional impulsiveness, internal and external locus of control, and the likelihood of endorsing fear of social approval and survival and coping beliefs as reasons for living. Final multivariate model showed that previous suicide attempt, depression, less severe diminished expression, greater degree of hopelessness and lower level of internal locus of control independently predicted suicidal ideation. Conclusions: Suicidal ideation was prevalent in FEP patients. Our findings implied that close monitoring and prompt intervention of those potentially modifiable risk factors for suicidal ideation including depression, hopelessness and perceived inadequate personal control may reduce suicide risk in the early course of psychotic illness. © 2014 Elsevier B.V.
Persistent Identifierhttp://hdl.handle.net/10722/207128
ISSN
2015 Impact Factor: 4.453
2015 SCImago Journal Rankings: 2.304

 

DC FieldValueLanguage
dc.contributor.authorChang, Wingchung-
dc.contributor.authorChen, Emily Sze Man-
dc.contributor.authorHui, Christylai-
dc.contributor.authorChan, Sherry Kit Wa-
dc.contributor.authorLee, Edwin Ho Ming-
dc.contributor.authorChen, Eric Yu Hai-
dc.date.accessioned2014-12-09T04:31:27Z-
dc.date.available2014-12-09T04:31:27Z-
dc.date.issued2014-
dc.identifier.citationSchizophrenia Research, 2014, v. 157, n. 1-3, p. 12-18-
dc.identifier.issn0920-9964-
dc.identifier.urihttp://hdl.handle.net/10722/207128-
dc.description.abstractBackground: Individuals with first-episode psychosis (FEP) have markedly elevated risk for suicide. Previous research on suicidality in early psychosis mainly focused on attempted and completed suicide. Data regarding risk factors for suicidal ideation, which is a common antecedent and predictor of suicide attempt, were limited. This study aimed to examine the prevalence of suicidal ideation and its relationships with clinical, neurocognitive and psychological factors in FEP patients. Method: Eighty-nine Chinese patients aged 15 to 25. years presenting with FEP to specialized early intervention service were recruited. A comprehensive set of assessments examining pre-treatment illness characteristics, symptom severity, neurocognitive function, and psychological factors were administered. Current suicidal ideation and history of suicide attempt were systematically evaluated. Results: Approximately 42% of patients expressed suicidal ideation after service entry. Univariate regression analyses found that suicidal ideation was significantly associated with past suicide attempt, depressive symptoms, emotion expressivity, hopelessness, future expectation, attentional impulsiveness, internal and external locus of control, and the likelihood of endorsing fear of social approval and survival and coping beliefs as reasons for living. Final multivariate model showed that previous suicide attempt, depression, less severe diminished expression, greater degree of hopelessness and lower level of internal locus of control independently predicted suicidal ideation. Conclusions: Suicidal ideation was prevalent in FEP patients. Our findings implied that close monitoring and prompt intervention of those potentially modifiable risk factors for suicidal ideation including depression, hopelessness and perceived inadequate personal control may reduce suicide risk in the early course of psychotic illness. © 2014 Elsevier B.V.-
dc.languageeng-
dc.publisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/schres-
dc.relation.ispartofSchizophrenia Research-
dc.subjectSuicidal ideation-
dc.subjectDepression-
dc.subjectFirst-episode psychosis-
dc.subjectHopelessness-
dc.subjectNegative symptoms-
dc.titleThe relationships of suicidal ideation with symptoms, neurocognitive function, and psychological factors in patients with first-episode psychosis-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.schres.2014.06.009-
dc.identifier.pmid24976591-
dc.identifier.scopuseid_2-s2.0-84904131781-
dc.identifier.hkuros231277-
dc.identifier.volume157-
dc.identifier.issue1-3-
dc.identifier.spage12-
dc.identifier.epage18-
dc.identifier.eissn1573-2509-

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