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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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
Subjects: University of Westminster > Social Sciences and Humanities
Depositing User: Miss Nina Watts
Date Deposited: 30 Apr 2009 11:02
Last Modified: 30 Apr 2009 11:02

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