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Early insight predicts depression and attempted suicide after 4 years in first-episode schizophrenia and schizophreniform disorder.

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Title: Early insight predicts depression and attempted suicide after 4 years in first-episode schizophrenia and schizophreniform disorder.
Authors: Crumlish, N. (AUTHOR), Whitty, P. (AUTHOR), Kamali, M. (AUTHOR), Clarke, M. (AUTHOR), Browne, S. (AUTHOR), McTigue, O. (AUTHOR), Lane, A. (AUTHOR), Kinsella, A. (AUTHOR), Larkin, C. (AUTHOR), O'Callaghan, E. (AUTHOR)
Source: Acta Psychiatrica Scandinavica. Dec2005, Vol. 112 Issue 6, p449-455. 7p. 4 Charts.
Subjects: Mental depression, Affective disorders, Suicidal behavior, Schizoaffective disorders, Schizophrenia, Psychoses, Schizophreniform disorder
Abstract: Objective: To map the development of insight in the 4 years after presentation with first-episode schizophrenia and schizophreniform disorder and to determine the effects of evolving insight on depression and the likelihood of attempted suicide. Method: We assessed 101 individuals at presentation, 6 months and 4 years. We measured insight, including recognition of mental illness, recognition of need for treatment and ability to relabel psychotic symptoms. We measured depression and recorded all suicide attempts. Results: Insight improved with time. Recognition of mental illness at 6 months predicted depression and attempted suicide at 4 years. Conclusion: Six months after presentation, the greater the acknowledgement by people that they had a mental illness, the more depressed they were at 4 years and the greater the likelihood that they would attempt suicide by 4 years. This may have implications for disclosure of diagnosis. [ABSTRACT FROM AUTHOR]
Copyright of Acta Psychiatrica Scandinavica is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Early insight predicts depression and attempted suicide after 4 years in first-episode schizophrenia and schizophreniform disorder.
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  Data: <searchLink fieldCode="JN" term="%22Acta+Psychiatrica+Scandinavica%22">Acta Psychiatrica Scandinavica</searchLink>. Dec2005, Vol. 112 Issue 6, p449-455. 7p. 4 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Affective+disorders%22">Affective disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Suicidal+behavior%22">Suicidal behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Schizoaffective+disorders%22">Schizoaffective disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Schizophrenia%22">Schizophrenia</searchLink><br /><searchLink fieldCode="DE" term="%22Psychoses%22">Psychoses</searchLink><br /><searchLink fieldCode="DE" term="%22Schizophreniform+disorder%22">Schizophreniform disorder</searchLink>
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  Label: Abstract
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  Data: Objective: To map the development of insight in the 4 years after presentation with first-episode schizophrenia and schizophreniform disorder and to determine the effects of evolving insight on depression and the likelihood of attempted suicide. Method: We assessed 101 individuals at presentation, 6 months and 4 years. We measured insight, including recognition of mental illness, recognition of need for treatment and ability to relabel psychotic symptoms. We measured depression and recorded all suicide attempts. Results: Insight improved with time. Recognition of mental illness at 6 months predicted depression and attempted suicide at 4 years. Conclusion: Six months after presentation, the greater the acknowledgement by people that they had a mental illness, the more depressed they were at 4 years and the greater the likelihood that they would attempt suicide by 4 years. This may have implications for disclosure of diagnosis. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Acta Psychiatrica Scandinavica is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: Dec2005
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