The development of insight and its relationship with suicidality over one year follow-up in patients with first episode psychosis
Abstract
Objective Insight into psychosis has been linked to suicidality, although inconsistently. The co-variation between insight and suicidality over time is under-investigated. The aim of the present study was to investigate predictors of suicidality in patients with first episode of psychosis (FEP) over one year, focusing on the relationship between insight and suicidality. Methods Patients with FEP (n=146) were interviewed as soon as possible after treatment starts and at one year follow-up. Results At baseline 37% of patients were suicidal, significantly reduced to 20% at follow-up. The effect of insight on suicidality was in different directions at different time-points, with insight at baseline increasing and insight at follow-up decreasing the risk of suicidality at follow-up. Patients with stable levels of insight across baseline and follow-up did not differ in risk for suicidality at follow-up. However, patients who lost insight from baseline to follow-up were more often suicidal at follow-up, whilst patients who gained insight were more seldom suicidal at follow-up. Other predictors of suicidality at follow-up were more depressive episodes before study entry, longer duration of untreated psychosis, more suicide attempts six months prior to follow-up, and depression at follow-up. Conclusion The results indicate that the effect of insight on suicidality in FEP-patients depends on time of assessment and of changes in insight. Gaining insight during treatment was associated w…
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Clinical and cognitive insight are associated with heightened suicidality.
“Consistent with the”
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 [96]
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- Authors
- Barrett, E. A., Mork, E., Færden, A., Nesvåg, R., Agartz, I., Andreassen, O. A., & Melle, I.
- Affiliations
- Oslo University Hospital (NO)
- Corresponding author
- Barrett, Elizabeth A.
- ORCID
- Venue
- Schizophrenia Research
- Publisher
- Elsevier BV
- Published
- 2015-03
- Volume
- 162
- Issue
- 1-3
- Pages
- 97-102
- ISSN
- 0920-9964 (ISSN-L)
- OpenAlex
- W2117642540
- Cited by
- 60
- References
- 52
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 4 · 2023: 4 · 2022: 6 · 2021: 7 · 2020: 5 · 2019: 3 · 2018: 8 · 2017: 6 · 2016: 7 · 2015: 1
- FWCI
- 5.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Schizophrenia Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- suicidality
- MeSH terms
- Acute Disease, Adolescent, Adult, Aged, Awareness, Depression, Female, Follow-Up Studies, Humans, Interview, Psychological, Male, Middle Aged, Psychiatric Status Rating Scales, Psychotic Disorders, Suicide, Multivariate Analysis, Logistic Models, Young Adult
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