Acceptance-based parent training intervention for youths with co-occurring psychotic symptoms and suicidal behaviors: A case series from an open trial

Youths with psychosis have the highest suicide risk yet have few effective interventions for suicide prevention and symptom management that address the family context. Adolescents Coping with Co-occurring Early Psychosis Treatment (ACCEPT) is a time-limited, adjunctive intervention designed to support parents of adolescents with psychotic symptoms and suicidal behaviors. ACCEPT targets family processes implicated in […]

Emotional distress and dysregulation as treatment targets to reduce suicide in psychosis: a scoping review

There is a pressing need for effective treatments that address the high rate of suicide observed among people with psychosis. In this scoping review we highlight two suicidogenic treatment targets that have been relatively neglected in people with psychotic disorders: emotional distress and emotion dysregulation. We review the research on these constructs in psychosis and […]

Cannabis use and suicide in non-affective psychosis: A mini-review of recent literature

Proof of correlation between psychotic spectrum disorders and suicide are found in literature, as well as between cannabis use disorder (CUD) and suicide and between CUD and schizophrenia. The study population of the  selected papers consists of subjects diagnosed with schizophrenia spectrum or cannabis or SCs induced psychosis. Our objective is to assess how suicide […]

Women in acute forensic psychiatric care: Comparison of clinical, sociodemographic, and detention-related characteristics in pretrial detention, sentence execution, and court-ordered treatment

Women in acute forensic psychiatric care: Comparison of clinical, sociodemographic, and detention-related characteristics in pretrial detention, sentence execution, and court-ordered treatment

Compared to men inmates, women display decreased prevalence of severe mental disorder but increased occurrence of substance use disorders (SUD) and higher rates of previous contacts with mental health services. The group of women in detention is highly heterogeneous according to the status of incarceration (pre-trial detention (PTD), sentence execution (SE) and court ordered treatments […]

Within-person relationship between attenuated positive symptoms and suicidal ideation among individuals at clinical high risk for psychosis

Individuals at clinical high-risk for psychosis (CHR-P) are at increased risk for suicide. However, the relationship between attenuated positive symptoms and suicidal ideation are not well understood, particularly as they interact over time. The current study addressed this gap in the literature. We hypothesized that greater attenuated symptoms would be concurrently and prospectively associated with […]

Similar and different? A cross-cultural comparison of the prevalence, course of and factors associated with suicidal thoughts and behaviors in first-episode psychosis in Chennai, India and Montreal, Canada

Background: Data from high-income countries (HICs) show a high risk of suicidal thoughts and behaviors (STBs) in first-episode psychosis (FEP). It is unknown, however, whether rates and associated factors differ in low- and middle-income countries (LMICs). Aims: We therefore aimed to compare the 2-year course of STBs and associated factors in persons with FEP treated […]

Resilience buffers the association between psychotic‑like experiences and suicide risk: A prospective study from a non‑clinical sample

Background: Several studies have reported that psychotic-like experiences are associated with low levels of resilience and increased suicide risk. However, it remains unknown as to whether resilience mediates or moderates the association between psychotic-like experiences and suicide risk. Therefore, in this study, we aimed to explore the moderating and mediating effect of resilience in the association […]

Self-harm, suicidal ideation, and the positive symptoms of psychosis: Cross-sectional and prospective data from a national household survey

Background: Schizophrenia is associated with premature mortality, partly through increased suicide rates. Aims: To examine (1) if persecutory ideas, auditory hallucinations, and probable cases of psychosis are associated with suicidal thoughts or attempts cross-sectionally and prospectively, and (2) if such links are mediated by specific affective factors (depression, impulsivity, mood instability). Method: We analysed the 2000, 2007, and […]

Factors associated with suicide attempts in the antecedent illness trajectory of bipolar disorder and schizophrenia

Background: Factors associated with suicide attempts during the antecedent illness trajectory of bipolar disorder (BD) and schizophrenia (SZ) are poorly understood. Methods: Utilizing the Rochester Epidemiology Project, individuals born after 1985 in Olmsted County, MN, presented with first episode mania (FEM) or psychosis (FEP), subsequently diagnosed with BD or SZ were identified. Patient demographics, suicidal ideation with […]

Longitudinal relationships of psychotic‑like experiences with suicidal ideation and self‑harm in adolescents

Research in adolescents suggests associations between psychotic-like experiences (PLEs) and self-injurious thoughts and behaviors (SITBs), but insights into their temporal relationship, which may inform prediction, have been limited. Psychological distress (PD; symptoms of depression and anxiety) has been related to both PLEs and SITBs, and may modulate this relationship. Given that PLEs have been linked […]

Prospective longitudinal associations between adverse childhood experiences and adult mental health outcomes: A protocol for a systematic review and meta‑analysis

Background Research cites a strong, dose–response relationship between adverse childhood experiences (ACEs) and poor adult mental health outcomes including anxiety, depression, post-traumatic stress disorder (PTSD), self-harm, suicidality, and psychotic-like experiences. Aim To systematically investigate the existence and strength of association between ACEs and adult mental health outcomes in prospective longitudinal studies. The review will focus […]

Predictors of suicidality among patients with psychotic disorders in a partial hospital treatment program

Individuals with psychotic disorders are at increased risk for suicidality. Demographic and clinical characteristics were compared in individuals with psychotic disorders reporting either high or low suicidality. Among this sample of 259 partial hospital patients, 116 (44.8%) were classified as high risk on the suicidality section of the Mini Neuropsychiatric Interview, and 143 (55.2%) were […]

Safety planning in context: A case study integrating DBT techniques and ACT for overlapping suicide and psychosis risk

Suicide risk is markedly higher for clients at clinical high risk for psychosis (CHR-p) compared to the general population. Dialectical behavior therapy (DBT) has a strong evidence base supporting its utility for managing suicide risk. Meanwhile, acceptance and commitment therapy (ACT) has been shown to effectively treat individuals with psychosis symptoms, as well as comorbid […]

Psychosis and suicide: Suicidal communication and critical life events before suicide in a 1-year psychiatric cohort

Background: The life time risk of suicide among patients with long term psychosis is 5-15%. Suicide prevention in this group is a major clinical challenge. Aims: To capture specific characteristics of suicidal communication and critical events preceding suicide in patients with psychosis. Methods: Medical records were examined and a life event inventory applied to a […]

Potential mechanisms between psychotic-like experiences and suicidal ideation in the context of COVID-19: A longitudinal study

Perceived stops to suicidal thoughts, plans, and actions in persons experiencing psychosis

Background: Suicide has been conceived as involving a continuum, whereby suicidal plans and acts emerge from thoughts about suicide. Suicide prevention strategies need to determine whether different responses are needed at these points on the continuum. Aims: This study investigates factors that were perceived to counter suicidal ideation, plans, and acts. Method: The 36 participants, all of whom […]

Potentially lethal suicide attempts using sharp objects during psychotic illness

Background: Recent studies have reported that serious violence toward self and others is more common in the first episode of psychosis than after treatment. Aims: To estimate the proportion of survivors of potentially lethal suicide attempts with sharp objects who have a diagnosis of psychotic illness, and the proportion of those patients who had never received treatment […]

Heterogeneity in the course of suicidal ideation and its relation to suicide attempts in first-episode psychosis: A 5-year prospective study

Objectives Although the risk of suicide is high in first-episode psychosis (FEP), little is known about the course of suicidal ideation and its relation to suicide attempts. Therefore, we aimed to identify 5-year trajectories of suicidal ideation and associated factors in FEP and compare how suicide attempts were distributed across these identified trajectories. Method This […]

Hallucinations, pseudohallucinations, and severity of suicidal ideation among emergency psychiatry patients: A pilot study

Aims: This study investigated relative relationships between auditory hallucinations and nonpsychotic hallucinations (pseudohallucinations), and suicidal risk. Methods: A sample of 206 consecutive patients seen in an emergency psychiatric service was evaluated for the presence and intensity of hallucinatory experiences (the hallucination item of the Positive and Negative Symptoms Scale), suicidal intensity (the suicide item of […]

Prevalence of and risk factors for suicide attempts among patients with severe psychiatric disorders in Eastern Morocco

Background: Suicide attempts are common in patients with severe psychiatric disorders; however, they are rarely studied in this population. Aims: To investigate the prevalence and risk factors associated with suicide attempts among patients with severe psychiatric disorders. Method: This is a cross-sectional study of patients admitted to the Mohammed VI University Hospital of Psychiatry in Oujda, Morocco. Results: A total of 250 […]

Potential mechanisms between psychotic-like experiences and suicidal ideation in the context of COVID-19: A longitudinal study

Objective Although many studies have found an association between psychotic-like experiences (PLEs) and suicidal ideation (SI), the underlying psychological mechanisms have not been well established. Therefore, we conducted a longitudinal study in technical secondary school and college students to explore the role of fear-response to the COVID-19 and depression in the association between PLEs and […]

Acceptability of a novel suicide prevention psychological therapy for people who experience non-affective psychosis

Objectives Suicide is a leading cause of death worldwide. People experiencing psychosis are at increased risk of death by suicide. Talking therapies can alleviate suicidal thoughts, plans, and attempts. Therapies need to also be acceptable to recipients. The aim of this study was to investigate the views on psychological therapy for people experiencing psychosis and […]