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Fialko L, Freeman D, Bebbington PE, et al. Understanding suicidal ideation in psychosis: findings from the Psychological Prevention of Relapse in Psychosis (PRP) trial. Acta Psychiatr Scand. 2006;114(3):177-86doi: 10.1111/j.1600-0447.2006.00849.x.
Fialko, L., Freeman, D., Bebbington, P. E., Kuipers, E., Garety, P. A., Dunn, G., & Fowler, D. (2006). Understanding suicidal ideation in psychosis: findings from the Psychological Prevention of Relapse in Psychosis (PRP) trial. Acta psychiatrica Scandinavica, 114(3), 177-86. https://doi.org/10.1111/j.1600-0447.2006.00849.x
Fialko, L, et al. "Understanding suicidal ideation in psychosis: findings from the Psychological Prevention of Relapse in Psychosis (PRP) trial." Acta psychiatrica Scandinavica vol. 114,3 (2006): 177-86. doi: https://doi.org/10.1111/j.1600-0447.2006.00849.x
Fialko L, Freeman D, Bebbington PE, Kuipers E, Garety PA, Dunn G, Fowler D. Understanding suicidal ideation in psychosis: findings from the Psychological Prevention of Relapse in Psychosis (PRP) trial. Acta Psychiatr Scand. 2006 Sep;114(3):177-86. doi: 10.1111/j.1600-0447.2006.00849.x. PMID: 16889588.
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Acta Psychiatr Scand. 2006 Sep;114(3):177-86. doi: 10.1111/j.1600-0447.2006.00849.x.

Understanding suicidal ideation in psychosis: findings from the Psychological Prevention of Relapse in Psychosis (PRP) trial.

Acta psychiatrica Scandinavica

L Fialko, D Freeman, P E Bebbington, E Kuipers, P A Garety, G Dunn, D Fowler

Affiliations

  1. Department of Psychology, Institute of Psychiatry, King's College London, University of London, London, UK. [email protected]

PMID: 16889588 DOI: 10.1111/j.1600-0447.2006.00849.x

Abstract

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.

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