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Insight and suicidality in psychosis: A cross-sectional study

Massons, C; Lopez-Morinigo, J-D; Pousa, E; Ruiz, A; Ochoa, S; Usall, J; Nieto, L; ... Dutta, R; + view all (2017) Insight and suicidality in psychosis: A cross-sectional study. Psychiatry Research , 252 pp. 147-153. 10.1016/j.psychres.2017.02.059. Green open access

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Abstract

Aims: We aimed to test whether specific insight dimensions are associated with suicidality in patients with psychotic disorders. Methods: 143 patients with schizophrenia spectrum disorders were recruited. Suicidality was assessed by item 8 of the Calgary Depression Scale for Schizophrenia (CDSS). Insight was measured by the Scale of Unawareness of Mental Disorder (SUMD) and the Markova and Berrios Insight Scale. Bivariate analyses and multivariable logistic regression models were conducted. Results: Those subjects aware of having a mental illness and its social consequences had higher scores on suicidality than those with poor insight. Awareness of the need for treatment was not linked with suicidality. The Markova and Berrios Insight scale total score and two specific domains (awareness of “disturbed thinking and loss of control over the situation” and “having a vague feeling that something is wrong”) were related to suicidality. However, no insight dimensions survived the multivariable regression model, which found depression and previous suicidal behaviour to predict suicidality. Conclusions: Suicidality in psychosis was linked with some insight dimensions: awareness of mental illness and awareness of social consequences, but not compliance. Depression and previous suicidal behaviour mediated the associations with insight; thus, predicting suicidality.

Type: Article
Title: Insight and suicidality in psychosis: A cross-sectional study
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.psychres.2017.02.059
Publisher version: https://doi.org/10.1016/j.psychres.2017.02.059
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Schizophrenia, Schizophrenia spectrum disorders, Insight dimensions,Depression, Suicidal ideation, Suicide attempt
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: http://discovery.ucl.ac.uk/id/eprint/10063271
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