Self-harm in first-episode psychosis.
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Authors
Harvey, Samuel B
Dean, Kimberlie
Morgan, Craig
Walsh, Elizabeth
Demjaha, Arsime
Dazzan, Paola
Morgan, Kevin
Lloyd, Tuhina
Fearon, Paul
Jones, Peter B
Issue Date
2008-Mar
Type
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Multicenter Study
Research Support, Non-U.S. Gov't
Language
en
Keywords
Alternative Title
Abstract
Little is known about self-harm occurring during the period of untreated first-episode psychosis.
To establish the prevalence, nature, motivation and risk factors for self-harm occurring during the untreated phase of first-episode psychosis.
As part of the AESOP (Aetiology and Ethnicity in Schizophrenia and Other Psychoses) study, episodes of self-harm were identified among all incident cases of psychosis presenting to services in south-east London and Nottingham over a 2-year period.
Of the 496 participants, 56 (11.3%) had engaged in self-harm between the onset of psychotic symptoms and first presentation to services. The independent correlates of self-harm were: male gender, belonging to social class I/II, depression and a prolonged period of untreated psychosis. Increased insight was also associated with risk of self-harm.
Self-harm is common during the pre-treatment phase of first-episode psychosis. A unique set of fixed and malleable risk factors appear to operate in those with first-episode psychosis. Reducing treatment delay and modifying disease attitudes may be key targets for suicide prevention.
To establish the prevalence, nature, motivation and risk factors for self-harm occurring during the untreated phase of first-episode psychosis.
As part of the AESOP (Aetiology and Ethnicity in Schizophrenia and Other Psychoses) study, episodes of self-harm were identified among all incident cases of psychosis presenting to services in south-east London and Nottingham over a 2-year period.
Of the 496 participants, 56 (11.3%) had engaged in self-harm between the onset of psychotic symptoms and first presentation to services. The independent correlates of self-harm were: male gender, belonging to social class I/II, depression and a prolonged period of untreated psychosis. Increased insight was also associated with risk of self-harm.
Self-harm is common during the pre-treatment phase of first-episode psychosis. A unique set of fixed and malleable risk factors appear to operate in those with first-episode psychosis. Reducing treatment delay and modifying disease attitudes may be key targets for suicide prevention.
Description
Citation
Harvey, S. B., Dean, K., Morgan, C., Walsh, E., Demjaha, A., Dazzan, P., Morgan, K., Lloyd, T., Fearon, P., Jones, P. B., & Murray, R. M. (2008). Self-harm in first-episode psychosis. The British journal of psychiatry : the journal of mental science, 192(3), 178–184. https://doi.org/10.1192/bjp.bp.107.037192
Publisher
License
Journal
The British journal of psychiatry : the journal of mental science
Volume
192
Issue
3
PubMed ID
ISSN
0007-1250