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Parasuicidal behavior in early stages of psychosis

Published online by Cambridge University Press:  19 July 2023

B. Serván Rendón-Luna ,
A. Montes Montero  and
P. Gómez Merino
B. Serván Rendón-Luna*
Affiliation:
Hospital Clínico San Carlos, Madrid, Spain
A. Montes Montero
Affiliation:
Hospital Clínico San Carlos, Madrid, Spain
P. Gómez Merino
Affiliation:
Hospital Clínico San Carlos, Madrid, Spain
*
*Corresponding author.

Abstract

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Introduction

Psychotic experiences (PE) are strongly associated with non-suicidal self-harm (NSA). NSA are present throughout life, but are more frequent during adolescence and young adulthood. Early psychotic episodes (PEP) are a particularly vulnerable group compared to later phases of psychosis psychosis.

Objectives

Analyze risk factors for suicide attempts and NSA, in order to improve early detection and prevention of suicides in adolescents and young adults with PD

Methods

Review in the literature of the different risk factors associated with parasuicidal behaviors in early psychosis

Results

  • • Presence of positive psychotic symptoms: auditory hallucinations, Delusional ideation.

  • • Social isolation

  • • Longer duration of untreated psychosis.

  • • Comorbid symptoms: irritability, depression, anxiety, psychotic distress, insomnia.

  • • Traumatic events in childhood

  • • Difficulty in regulating emotional, impulsivity and sensitivity to reward.

  • • Consumption of substances.

  • • Psychosocial stress.

Conclusions

We consider essential the inclusion of early intervention programs aimed at the prevention of suicide and NSA, evaluating all risk factors for suicide and NSA among individuals with a PEP and high-risk mental states.

Initial assessment and ongoing assessments of suicide risk and parasuicidal behaviors, positive psychotic symptoms, depression, and the other related risk factors mentioned are required. Integrating trauma management into PEP care is critical.

Bibliography:

1.- Honings S, et al. Psychotic experiences and risk of self-injurious behaviour in the general population: a systematic review and meta-analysis. Psychol Med. 2016;46(02):237–51. doi: 10.1017/S0033291715001841

2.- Honings S, et al. Psychotic experiences and incident suicidal ideation and behaviour: Disentangling the longitudinal associations from connected psychopathology. Psychiatry Res. 2016;245:267–75. doi: 10.1016/j.psychres.2016.08.002

3.- Nishida A, et al. Risk for suicidal problems in poor-help-seeking adolescents with psychotic-like experiences: Findings from a cross-sectional survey of 16,131 adolescents. Schizphr Res. 2014;159(2–3):257–62. doi: 10.1016/j.schres.2014.09.030 39.

Disclosure of Interest

None Declared

Type
Abstract
Information
European Psychiatry , Volume 66 , Special Issue S1: Abstracts of the 31st European Congress of Psychiatry , March 2023 , pp. S1048 - S1049
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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