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Cited by 88Suicide and Self-Harm StudiesSchizophrenia research and treatmentPsychiatric care and mental health services

Suicide behaviour over 18 months in recent onset schizophrenic patients: The effects of CBT

Tarrier, Nicholas, Haddock, Gillian, Lewis, Shon, Drake, Richard, Gregg, Lynsey·2006·Schizophrenia Research
DOI 10.1016/j.schres.2005.12.846
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Abstract

The results of a trial of cognitive behaviour therapy, supportive counselling and treatment as usual in recent onset schizophrenia on suicide behaviour are reported. Treatment was delivered over a five week period during hospitalisation for an acute episode. Participants were assessed at baseline, 6 weeks, 3 and 18 months. Over the 18 months there were 3 definite suicides and 2 deaths by accidental causes. The rates of moderate to severe suicidal behaviour were 13% at admission, 4% at six weeks, 1.5% at three months and 6% at 18 months. There were no beneficial or adverse effects of psychological treatment on suicide behaviour that reduced significantly with clinical recovery. There is a general picture of those who suffer persistently higher levels of psychotic symptoms, poorer functioning, depression and low self-esteem have higher severity of suicide behaviour, although the numbers with clinically significant suicide behaviour are low. CBT may need to be modified to directly target suicide behaviour and its antecedents to significantly reduce risk; recommendations on this are made.

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  • Cognitive Behavioural Therapy for psychosis (CBTp) is less effective for treating emotional dysfunction associated with psychosis such as depression, hopelessness and suicide risk.

    “Although effective at treating positive symptoms, Cognitive Behavioural Therapy for psychosis (CBTp) is less effective for treating emotional dysfunction associated with psychosis such as depression, hopelessness and suicide risk (Birchwood, 2003; Wykes et al., 2008; Tarrier et al., 2006).”

    From Acceptance and Commitment Therapy for depression following psychosis: An examination of clinically significant change (2015) · cites this paper as Tarrier et al., 2006

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Authors
Tarrier, N., Haddock, G., Lewis, S., Drake, R., & Gregg, L.
Affiliations
University of Manchester (GB)
Corresponding author
Tarrier, Nicholas
ORCID
Venue
Schizophrenia Research
Publisher
Elsevier BV
Published
2006-03
Volume
83
Issue
1
Pages
15-27
ISSN
0920-9964 (ISSN-L)
DOI
10.1016/j.schres.2005.12.846
OpenAlex
W2123159136
Cited by
88
References
38
Citations by year
2025: 1 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 6 · 2019: 5 · 2018: 2 · 2017: 2 · 2016: 6 · 2015: 5 · 2014: 7 · 2013: 6 · 2012: 5
FWCI
7.02
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Schizophrenia Research (publishedVersion)
  • PubMed (publishedVersion)
  • Research Explorer (The University of Manchester) (submittedVersion)
Funders
Medical Research Council
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords
recent-onset schizophrenia
MeSH terms
Suicide Prevention, Acute Disease, Adolescent, Adult, Analysis of Variance, Female, Follow-Up Studies, Humans, Male, Middle Aged, Schizophrenia, Schizophrenic Psychology, Social Support, Suicide, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic, Self-Injurious Behavior

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