Temporal pattern of suicide risk in young individuals with early psychosis

Fedyszyn, Izabela E., Robinson, Jo, Matyas, Thomas, Harris, Meredith G. and Paxton, Susan J. (2010) Temporal pattern of suicide risk in young individuals with early psychosis. Psychiatry Research, 175 1-2: 98-103. doi:10.1016/j.psychres.2008.10.006

Author Fedyszyn, Izabela E.
Robinson, Jo
Matyas, Thomas
Harris, Meredith G.
Paxton, Susan J.
Title Temporal pattern of suicide risk in young individuals with early psychosis
Journal name Psychiatry Research   Check publisher's open access policy
ISSN 0165-1781
Publication date 2010-01-30
Year available 2009
Sub-type Article (original research)
DOI 10.1016/j.psychres.2008.10.006
Volume 175
Issue 1-2
Start page 98
End page 103
Total pages 6
Editor Monte S.Buchsbaum
Place of publication Shannon, Ireland
Publisher Elsevier Ireland
Language eng
Subject C1
920209 Mental Health Services
111714 Mental Health
Abstract Individuals with a first episode of psychotic illness are known to be at high risk of suicide, yet little is understood about the timing of risk in this critical period. The present study aimed to examine the temporal pattern of suicide risk in patients with early psychosis (EP) and to determine whether discrete periods of significantly elevated risk can be identified up to 24 months after commencing treatment. Suicidality ratings collected each month as part of patient routine assessment at the Early Psychosis Prevention and Intervention Centre (EPPIC) were retrieved from the service database for patients treated between December 2002 and December 2005 (N = 696). Time-series analysis was performed on suicide risk estimated from the aggregated data of 94 individuals who met the study inclusion criteria. Suicide risk was highest in the first month of treatment, decreasing rapidly over the next 6 months and declining slightly thereafter. A power function adequately described this curvilinear trend. Fluctuations around the trend were unpredictable, except for a mild tendency to reverse from month to month, and did not reach statistical significance. The findings suggest limited scope for preventative interventions driven by chronology alone. Intensive routine suicide screening across the course of treatment may facilitate identification and early management of EP patients at suicide risk. © 2008 Elsevier Ireland Ltd. All rights reserved.
Keyword Suicidal behaviour
Suicide risk
First episode
Temporal course
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Available online 5 December 2009.

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2010 Higher Education Research Data Collection
2010 Higher Education Research Data Collection
School of Public Health Publications
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Citation counts: TR Web of Science Citation Count  Cited 12 times in Thomson Reuters Web of Science Article | Citations
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Created: Sun, 28 Feb 2010, 10:00:56 EST