Antecedents and Patterns of Suicide Behavior in First-Admission Psychosis

This study described suicide behaviours before & during the 4 years following first psychiatric hospitalization, examined associations of demographic & psychiatric risk factors, & developed a suicide risk index for persons with psychotic illnesses. Data came from a first-admission cohort of 529 patients in the Suffolk County Mental Health Project. Prior to first admission, 28.0% of the cohort had attempted suicide. During the 4-year follow-up, 13.6% attempted suicide (29.7% of those with previous attempts & 7.3% making their first attempt) & 3 respondents died by suicide. The significant predictors at index admission of subsequent attempts were prior attempts or ideation, severity of depressive symptoms, & thought disorder, lifetime substance abuse, & younger age. Suicide ideation was predicted by the same variables with the addition of insight into illness & with the excpetion of age at admission. (63 refs.) JA

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