Title | Self-harm in first-episode psychosis |
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Authors | Harvey, S.B., Dean, K., Morgan, C., Walsh, E., Demjaha, A., Dazzan, P. and Morgan, K.D. |
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Abstract | Background: Little is known about self-harm occurring during the period of untreated first-episode psychosis. Aims: To establish the prevalence, nature, motivation and risk factors for self-harm occurring during the untreated phase of first-episode psychosis. Method: 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. Results: 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. Conclusions: 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. |
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Keywords | 1st episode psychosis, suicidal behavior, risk-factors, schizophrenia, insight, AESOP, theory, illness, people, rates |
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Journal | British Journal of Psychiatry |
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Journal citation | 192 (3), pp. 178-184 |
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ISSN | 1472-1465 |
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Year | Mar 2008 |
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Publisher | Royal College of Psychiatrists |
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Digital Object Identifier (DOI) | https://doi.org/10.1192/bjp.bp.107.037192 |
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Publication dates |
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Published | Mar 2008 |
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