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- Publisher Website: 10.1016/j.schres.2014.06.009
- Scopus: eid_2-s2.0-84904131781
- PMID: 24976591
- WOS: WOS:000341314100003
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Article: The relationships of suicidal ideation with symptoms, neurocognitive function, and psychological factors in patients with first-episode psychosis
Title | The relationships of suicidal ideation with symptoms, neurocognitive function, and psychological factors in patients with first-episode psychosis |
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Authors | |
Keywords | Suicidal ideation Depression First-episode psychosis Hopelessness Negative symptoms |
Issue Date | 2014 |
Publisher | Elsevier 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? |
Abstract | Background: 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 Identifier | http://hdl.handle.net/10722/207128 |
ISSN | 2023 Impact Factor: 3.6 2023 SCImago Journal Rankings: 1.374 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Chang, Wingchung | - |
dc.contributor.author | Chen, Emily Sze Man | - |
dc.contributor.author | Hui, Christylai | - |
dc.contributor.author | Chan, Sherry Kit Wa | - |
dc.contributor.author | Lee, Edwin Ho Ming | - |
dc.contributor.author | Chen, Eric Yu Hai | - |
dc.date.accessioned | 2014-12-09T04:31:27Z | - |
dc.date.available | 2014-12-09T04:31:27Z | - |
dc.date.issued | 2014 | - |
dc.identifier.citation | Schizophrenia Research, 2014, v. 157, n. 1-3, p. 12-18 | - |
dc.identifier.issn | 0920-9964 | - |
dc.identifier.uri | http://hdl.handle.net/10722/207128 | - |
dc.description.abstract | Background: 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.language | eng | - |
dc.publisher | Elsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/schres | - |
dc.relation.ispartof | Schizophrenia Research | - |
dc.subject | Suicidal ideation | - |
dc.subject | Depression | - |
dc.subject | First-episode psychosis | - |
dc.subject | Hopelessness | - |
dc.subject | Negative symptoms | - |
dc.title | The relationships of suicidal ideation with symptoms, neurocognitive function, and psychological factors in patients with first-episode psychosis | - |
dc.type | Article | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1016/j.schres.2014.06.009 | - |
dc.identifier.pmid | 24976591 | - |
dc.identifier.scopus | eid_2-s2.0-84904131781 | - |
dc.identifier.hkuros | 231277 | - |
dc.identifier.volume | 157 | - |
dc.identifier.issue | 1-3 | - |
dc.identifier.spage | 12 | - |
dc.identifier.epage | 18 | - |
dc.identifier.eissn | 1573-2509 | - |
dc.identifier.isi | WOS:000341314100003 | - |
dc.identifier.issnl | 0920-9964 | - |