Self-harm in first-episode psychosis.
نویسندگان
چکیده
BACKGROUND Little is known about self-harm occurring during the period of untreated first-episode psychosis. AIMS To establish the prevalence, nature, motivation and risk factors for self-harm occurring during the untreated phase of first-episode psychosis. METHOD As part of the AESOP (Aetiology and Ethnicity in Schizophrenia and Other Psychoses) study, episodes of self-harm were identified among all incident cases of psychosis presenting to services in south-east London and Nottingham over a 2-year period. RESULTS Of the 496 participants, 56 (11.3%) had engaged in self-harm between the onset of psychotic symptoms and first presentation to services. The independent correlates of self-harm were: male gender, belonging to social class I/II, depression and a prolonged period of untreated psychosis. Increased insight was also associated with risk of self-harm. CONCLUSIONS Self-harm is common during the pre-treatment phase of first-episode psychosis. A unique set of fixed and malleable risk factors appear to operate in those with first-episode psychosis. Reducing treatment delay and modifying disease attitudes may be key targets for suicide prevention.
منابع مشابه
Self-harm in first-episode psychosis
RESULTS A history of self-harm was found in 32% of the cohort. The predominant method of self-harm was selflaceration. In univariate analyses, age and gender were significant predictors of self-harming behaviour. CLINICAL IMPLICATIONS The rate of self-harm among those with first-episode psychosis is high. Efforts to reduce the rate of completed suicide in psychotic illness need to focus on this...
متن کاملReview: about one in five people with first-episode psychosis have a history of deliberate self-harm.
ED FROM Challis S, Nielssen O, Harris A, et al. Systematic meta-analysis of the risk factors for deliberate self-harm before and after treatment for first-episode psychosis. Acta Psychiatr Scand 2013;127:442–54. Correspondence to: M Large, The Kiloh Centre, The Prince of Wales Hospital, Barker Street, Randwick, NSW 2031, Australia; [email protected] OM M EN TRY There is a lot to learn about suic...
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ورودعنوان ژورنال:
- The British journal of psychiatry : the journal of mental science
دوره 192 3 شماره
صفحات -
تاریخ انتشار 2008