Course and Predictors of Suicidality Over the First Two Years of Treatment in First-Episode Schizophrenia Spectrum Psychosis |
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| Authors: | Ingrid Melle Jan Olav Johannessen Svein Friis Ulrik Haahr Inge Joa Tor K Larsen |
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| Institution: | 1. Clinical for Mental Health and Addiction, Oslo University Hospital, Department of Psychiatry , University of Oslo , Oslo, Norway ingrid.melle@medisin.uio.no;3. Stavanger University Hospital, Psychiatric Clinic , Stavanger, Norway;4. Clinical for Mental Health and Addiction, Oslo University Hospital, Department of Psychiatry , University of Oslo , Oslo, Norway;5. Zealand Region Psychiatry Roskilde , Denmark;6. Stavanger University Hospital, Psychiatric Clinic , Stavanger, Norway;7. Department of Clinical Medicine, Section Psychiatry , University of Bergen , Norway |
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| Abstract: | The objective of this study was to investigate the course of suicidal behavior over the first 2 years of comprehensive, integrated treatment in two groups of patients with DSM-IV first episode schizophrenia spectrum psychosis, where one group was recruited through an early detection program. We have previously shown that the rate of severe suicidal behavior was lower in the earlier detected group than in the other. First episode schizophrenia is a high risk period for suicidality, but we found low rates of completed suicides and suicide attempts in both groups after 2 years in treatment, with no between-groups differences. Severe suicidality (plans and attempts) was predicted by drug abuse, dissatisfaction with life and severe suicidality at start of treatment. |
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| Keywords: | psychotic disorders schizophrenia suicide suicide attempted |
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