Publication
Suicide in Recent Onset Psychosis Revisited: Significant Reduction of Suicide Rate over the Last Two Decades - A Replication Study of a Dutch Incidence Cohort
Castelein, S., Liemburg, E. J., de Lange, J. S., van Es, F. D., Visser, E., Aleman, A., Bruggeman, R. & Knegtering, H., 12-Jun-2015, In : PLoS ONE. 10, 6, 13 p., e0129263.Research output: Contribution to journal › Article › Academic › peer-review

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- Suicide in Recent Onset Psychosis Revisited: Significant Reduction of Suicide Rate over the Last Two Decades
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DOI
This study aims to compare the suicide risk over the past decade following recent onset psychosis to findings from the eighties and nineties in the same catchment area and to identify predictors of suicide in the context of the Psychosis Recent Onset Groningen-Survey (PROGR-S). A medical file search was carried out to determine the current status of all patients admitted between 2000 and 2009. The suicide rate was compared with a study executed in 1973-1988 in the same catchment area. Predictors of suicide were investigated using Cox regression. The status of 424 of the 614 patients was known in July 2014. Suicide occurred in 2.4% of patients with psychosis disorders (n = 10; mean follow-up 5.6 years); 6 out of 10 suicides took place within two years. Within two decades, the suicide rate dropped from 11% (follow-up 15 years, 8.5% after 5 years) to 2.4%. The Standardized Mortality Rate (SMR) of suicides compared with the general population was 41.6. A higher age was the only significant predictor for suicide. Neuroticism, living situation, disorganized and negative symptoms, and passive coping style all showed a trend for significance. A significant reduction in the suicide rate was found for people with psychosis over the past decades. Given the high SMR, suicide research should be given the highest priority. Identifying predictors may contribute to further reduction of suicide among patients with psychosis.
Original language | English |
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Article number | e0129263 |
Number of pages | 13 |
Journal | PLoS ONE |
Volume | 10 |
Issue number | 6 |
Publication status | Published - 12-Jun-2015 |
- 1ST EPISODE PSYCHOSIS, RISK-FACTORS, COMPLETED SUICIDE, SCHIZOPHRENIC-PATIENTS, 5-FACTOR MODEL, DISORDERS, PREDICTORS, BEHAVIOR, 1ST-EPISODE, TRIAL
Keywords
Related Publications
Erratum: Daling suïcidecijfer na eerste psychose: Een vergelijking met de situatie van twee decennia terug
Castelein, S., Liemburg, E. J., De Lange, J. S., Van Es, F. D., Visser, E., Aleman, A., Bruggeman, R. & Knegtering, H., 2016, In : Nederlands Tijdschrift voor Geneeskunde. 160, 2, A9565.Research output: Contribution to journal › Article › Academic › peer-review
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