کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
11021269 1714849 2018 12 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The dynamic relationship between insight and suicidal behavior in first episode psychosis patients over 3-year follow-up
ترجمه فارسی عنوان
ارتباط پویا بین بینش و رفتار خودکشی در بیماران مبتلا به روانپریشی در گروه اول در طی پیگیری 3 ساله
کلمات کلیدی
رفتار خودکشی، بینش، بصیرت، درون بینی، قسمت اول روانپریشی، جنون جوانی،
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی روانپزشکی بیولوژیکی
چکیده انگلیسی
Studies have established the high risk of suicide in first episode psychosis (FEP). Between 15% and 26% of FEP patients attempt suicide at least once before their first contact with psychiatric services and 2-5% die from suicide. Also, many patients with schizophrenia spectrum disorders lack insight into having a mental disorder. However, the relationship between insight changes and suicidal behavior in FEP remains poorly understood. In the present study information about suicidal behavior over a 3 years period was available on a cohort of 397 FEP patients, of whom 270 were assessed in the three dimensions of insight (into mental illness, the need for treatment, and the social consequences) at baseline, 1 and 3 years after treatment initiation. Survival analyses examined time to suicidal behavior in relation to (i) insight at baseline, (ii) the closest insight measure to the suicide attempt, and (iii) changes in insight during the follow-up. No associations were found between baseline insight dimensions and time to suicidal behavior. However, poor insight at the evaluation closest to the suicide attempt was associated with an increased risk of suicide. Stability of insight did not affect the risk of suicidal behavior, while changes in either direction were linked with an increased risk of suicidal behavior, particularly worsening insight. Insight in psychosis is a dynamic concept and we demonstrated the relationship between insight and suicide risk to be equally dynamic. Poor insight seems to increase the risk, especially when insight levels change. Repeated insight assessment to detect change from early psychosis may play a role in suicide prevention.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Neuropsychopharmacology - Volume 28, Issue 10, October 2018, Pages 1161-1172
نویسندگان
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