%K schizophrenia, suicidal ideation, affect, positive symptoms, psychosis, RANDOMIZED CONTROLLED TRIAL, RISK-FACTORS, FOLLOW-UP, PSYCHOMETRIC PROPERTIES, 1ST-EPISODE PSYCHOSIS, CHRONIC-SCHIZOPHRENIA, BEHAVIOR, DEPRESSION, DISORDERS, HOPELESSNESS
%I BLACKWELL PUBLISHING
%X Objective: To examine the clinically important phenomenon of suicidal ideation in psychosis in relation to affective processes and the multidimensional nature of hallucinations and delusions.Method: In a cross-sectional study of 290 individuals with psychosis, the associations between level of suicidal ideation, affective processes, positive symptoms, clinical and demographic variables were examined.Results: Forty-one per cent of participants expressed current suicidal ideation. Suicidal ideation was associated with depressed mood, anxiety, low self-esteem, negative illness perceptions, negative evaluative beliefs about the self and others and daily alcohol consumption. Frequency of auditory hallucinations and preoccupation with delusions were not associated with suicidal ideation; however, positive symptom distress did relate to suicidal thoughts.Conclusion: Affective dysfunction, including distress in response to hallucinations and delusions, was a key factor associated with suicidal ideation in individuals with psychotic relapse. Suicidal ideation in psychosis appears to be an understandable, mood-driven process, rather than being of irrational or 'psychotic' origin.
%J ACTA PSYCHIAT SCAND
%V 114
%A L Fialko
%A D Freeman
%A PE Bebbington
%A E Kuipers
%A PA Garety
%A G Dunn
%A D Fowler
%D 2006
%N 3
%T Understanding suicidal ideation in psychosis: findings from the Psychological Prevention of Relapse in Psychosis (PRP) trial
%L discovery2181
%P 177 - 186