Insight and suicidality in psychosis: A cross-sectional study
Open accessAbstract
Aims We aimed to test whether specific insight dimensions are associated with suicidality in patients with psychotic disorders.Methods 143 patients with schizophrenia spectrum disorders were recruited. Suicidality was assessed by item 8 of the Calgary Depression Scale for Schizophrenia (CDSS). Insight was measured by the Scale of Unawareness of Mental Disorder (SUMD) and the Markova and Berrios Insight Scale. Bivariate analyses and multivariable logistic regression models were conducted.Results Those subjects aware of having a mental illness and its social consequences had higher scores on suicidality than those with poor insight. Awareness of the need for treatment was not linked with suicidality. The Markova and Berrios Insight scale total score and two specific domains (awareness of "disturbed thinking and loss of control over the situation" and "having a vague feeling that something is wrong") were related to suicidality. However, no insight dimensions survived the multivariable regression model, which found depression and previous suicidal behaviour to predict suicidality.Conclusions Suicidality in psychosis was linked with some insight dimensions: awareness of mental illness and awareness of social consequences, but not compliance. Depression and previous suicidal behaviour mediated the associations with insight; thus, predicting suicidality.
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The relationship of insight and suicidality may be fully mediated by depression.
“Other studies have found that the relationship of insight and suicidality may be fully mediated by depression 97 .”
From Insight in schizophrenia spectrum disorders: relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments (2018) · cites this paper as [97]
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Research works printed but not linked: 1
- Kemp, R. David, A. , 1997. Insight and compliance. In: Treatment Compliance and the Therapeutic Alliance in Serious Mental Illness (ed. B. Blackwell). Harwood Academic Publishers, Amsterdam, pp. 61 -84.
Cited by
Sorted by citations
Lysaker, P. H., Pattison, M. L., Leonhardt, B. L., Phelps, S., & Vohs, J. L. (2018) · World Psychiatry · doi:10.1002/wps.20508 · Cited by 247 · see citing works
- Authors
- Massons, C., Lopez-Morinigo, J.-D., Pousa, E., Ruiz, A., Ochoa, S., Usall, J., Nieto, L., Cobo, J., David, A. S., & Dutta, R.
- Affiliations
- Universitat Autònoma de Barcelona (ES)
- Parc de Salut (ES)
- Centro de Investigación Biomédica en Red de Salud Mental (ES)
- Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz (MX)
- King's College London (GB)
- Corresponding author
- Massons, Carmen
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2017-06
- Volume
- 252
- Pages
- 147-153
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2592907907
- Cited by
- 36
- References
- 61
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 4 · 2023: 6 · 2022: 3 · 2021: 1 · 2020: 5 · 2019: 2 · 2018: 6 · 2017: 5
- FWCI
- 6.09
- Type
- journal article
- Language
- en
- Open access
- green
- kclpure.kcl.ac.uk
- Licence
- cc-by-nc-nd
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (publishedVersion, cc-by-nc-nd)
- Repositori digital de la UPF (Universitat Pompeu Fabra) (acceptedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- Academy of Medical Sciences (AMS-CSF4-Dutta)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- insight, suicidality, psychosis, schizophrenia spectrum disorders, medication adherence, depression, Calgary Depression Scale for Schizophrenia
- MeSH terms
- Adult, Awareness, Cross-Sectional Studies, Depression, Female, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Psychotic Disorders, Logistic Models, Suicidal Ideation
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