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. |
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| 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] |
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| Database: | Psychology and Behavioral Sciences Collection |
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