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Self-harm in first-episode psychosis

Harvey, Samuel B. and Dean, Kimberlie and Morgan, Craig and Walsh, Elizabeth and Demjaha, Arsime and Dazzan, Paola and Morgan, Kevin D. (2008) Self-harm in first-episode psychosis. British Journal of Psychiatry, 192 (3). pp. 178-184. ISSN 1472-1465

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Official URL: http://dx.doi.org/10.1192/bjp.bp.107.037192


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.

Item Type:Article
Uncontrolled Keywords:1st episode psychosis, suicidal behavior, risk-factors, schizophrenia, insight, AESOP, theory, illness, people, rates
Research Community:University of Westminster > Social Sciences, Humanities and Languages, School of
ID Code:6699
Deposited On:30 Apr 2009 12:02
Last Modified:30 Apr 2009 12:02

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