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Insight and risk of suicidal behaviour in two first-episode psychosis cohorts: Effects of previous suicide attempts and depression

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Javier-David Lopez-Morinigo, Marta Di Forti, Olesja Ajnakina, Benjamin D. Wiffen, Kevin Morgan, Gillian A. Doody, Peter B. Jones, Rosa Ayesa-Arriola, Manuel Canal-Rivero, Benedicto Crespo-Facorro, Robin M. Murray, Paola Dazzan, Craig Morgan, Rina Dutta, Anthony S. David

Original languageEnglish
JournalSchizophrenia Research
Early online date22 Sep 2018
DOIs
Publication statusE-pub ahead of print - 22 Sep 2018

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Abstract

Background The role of insight dimensions – illness recognition (IR), symptoms relabelling (SR), treatment compliance (TC) - in suicide risk in first-episode psychosis (FEP) remains unclear. Method The 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. Results AESOP: those with previous suicide attempts scored higher on IR (7.6 ± 1.9 vs. 5.9 ± 3.0, p 

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