Insight and risk of suicidal behaviour in two first-episode psychosis cohorts: effects of previous suicide attempts and depression
- Lopez-Morinigo, Javier-David
- Di Forti, Marta
- Ajnakina, Olesja
- Wiffen, Benjamin D.
- Morgan, Kevin
- Doody, Gillian A.
- Jones, Peter B.
- Ayesa-Arriola, Rosa
- Canal-Rivero, Manuel
- Crespo-Facorro, Benedicto
- Murray, Robin M.
- Dazzan, Paola
- Morgan, Craig
- Dutta, Rina
- David, Anthony S.
DOIAbstract
BackgroundThe role of insight dimensions – illness recognition (IR), symptoms relabelling (SR), treatment compliance (TC) - in suicide risk in first-episode psychosis (FEP) remains unclear.MethodThe AESOP (n = 181) and GAP (n = 112) FEP cohorts were followed-up over 10- and 5 years. Survival analysis modelled time to first suicidal event in relation to baseline scores on the Schedule for the Assessment of Insight, whilst adjusting for demographic, clinical, psychopathological and neuropsychological variables.ResultsAESOP: those with previous suicide attempts scored higher on IR (7.6 ± 1.9 vs. 5.9 ± 3.0, p
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