The evolution of depression and suicidality in first episode psychosis

Acta Psychiatrica Scandinavica - Tập 122 Số 3 - Trang 211-218 - 2010
Rachel Upthegrove1, Max Birchwood, Kerry Ross, Kaitlin M. Brunett, Richard McCollum, Lisa Jones
1Birmingham and Solihull Mental Health Foundation Trust, Early Intervention Service, Aston, Birmingham, UK. [email protected]

Tóm tắt

Upthegrove R, Birchwood M, Ross K, Brunett K, McCollum R, Jones L. The evolution of depression and suicidality in first episode psychosis.Objective:  To have a clearer understanding of the ebb and flow of depression and suicidal thinking in the early phase of psychosis, whether these events are predictable and how they relate to the early course of psychotic symptoms.Method:  Ninety‐two patients with first episode psychosis (FEP) completed measures of depression, including prodromal depression, self‐harm and duration of untreated psychosis. Follow‐up took place over 12 months.Results:  Depression occurred in 80% of patients at one or more phases of FEP; a combination of depression and suicidal thinking was present in 63%. Depression in the prodromal phase was the most significant predictor of future depression and acts of self‐harm.Conclusion:  Depression early in the emergence of a psychosis is fundamental to the development of future depression and suicidal thinking. Efforts to predict and reduce depression and deliberate self‐harm in psychosis may need to target this early phase to reduce later risk.

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Acta Psychiatrica Scandinavica

Tập 122 Số 3

211-218

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