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Self-harm, suicidal ideation, and the positive symptoms of psychosis: Cross-sectional and prospective data from a national household survey by Angharad N. de Cates; Gennaro Catone; Steven Marwaha; Paul Bebbington; Clara S. Humpston; Matthew R. Broome is a Medicine article available to read on EtoBox.

What is Self-harm, suicidal ideation, and the positive symptoms of psychosis: Cross-sectional and prospective data from a national household survey about?

## Background: Schizophrenia is associated with premature mortality, partly through increased suicide rates. ## Aims: To examine (1) if persecutory ideas, auditory hallucinations, and probable cases of psychosis are associated with suicidal thoughts or attempts cross-sectionally and prospectively, and (2) if such links are mediated by specific affective factors (depression, impulsivity, mood instability). ## Method: We analysed the 2000, 2007, and 2014 british adult psychiatric morbidity surveys (apms) separately. measures of psychosis provided independent variables for multi-stage logistic regressions, with suicidal thoughts and attempts as dependent variables. we also conducted analyses to assess mediation by affective variables, and longitudinal analyses on a subset of the 2000 dataset. ## Results: In every dataset, persecutory ideas, auditory hallucinations and probable psychosis were associated cross-sectionally with lifetime suicidal attempts and thoughts, even after controlling for confounders, with a single exception (persecutory ideation and suicide attempts were unconnected in apms 2014). cross-sectional associations between auditory hallucinations and suicidal phenomena

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Author
Angharad N. de Cates; Gennaro Catone; Steven Marwaha; Paul Bebbington; Clara S. Humpston; Matthew R. Broome
Publisher
Elsevier BV
Published
2021
Language
EN
Field
Medicine (Health Sciences)