Insight and suicidality in psychosis: A cross-sectional study

PSYCHIATRY RESEARCH

卷:252

Article

Massons, Carmen¹  Lopez-Morinigo, Javier-David²  Pousa, Esther¹  Ruiz, Ada^3,4  Ochoa, Susana⁵  Usall, Judith⁵  Nieto, Lourdes⁶  Cobo, Jesus^1,7,8  David, Anthony S.²  Dutta, Rina⁹ 

[1] Univ Autonoma Barcelona, Mental Hlth Deparment, Corporacio Sanitaria Parc Tauli, Campus Excellencia Int, Bellaterra 08193, Spain

[2] Kings Coll London, Inst Psychiat Psychol & Neurosci, Dept Psychosis Studies, London, England

[3] Inst Neuropsiquiat & Addict, Parc Salut Mar, Barcelona, Spain

[4] Hosp del Mar, IMIM, Med Res Inst, Barcelona, Spain

[5] Parc Sanitari San Joan De Deu CIBERSAM, Res & Dev Unit, Barcelona, Spain

[6] Inst Nacl Psiquiat Ramon De La Fuente Muniz, Dept Res, Calzada Mexico Xochimilco 101, Mexico City 14370, DF, Mexico

[7] Univ Autonoma Barcelona, Dept Psychiat & Forens Med, E-08193 Barcelona, Spain

[8] CIBERSAM, Ctr Invest Biomed Red Salud Mental, Sabadell, Spain

[9] Kings Coll London, Inst Psychiat Psychol & Neurosci, Dept Psychol Med, London, England

关键词: Schizophrenia;    Schizophrenia spectrum disorders;    Insight dimensions;    Depression;    Suicidal ideation;    Suicide attempt;   

DOI  :  10.1016/j.psychres.2017.02.059

来源: Elsevier

【 摘 要 】

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.

【 授权许可】

Free