ArticleSocial psychiatry and psychiatric epidemiology2020
Psychotic experiences and suicidal behavior: testing the influence of psycho-socioenvironmental factors.
Article in Social psychiatry and psychiatric epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Psychotic Experiences and Risk of Suicidal Thoughts and Behaviors: A Systematic Review and Meta-Analysis of Longitudinal Population Studies.Schizophrenia bulletin · 2026Pooled it
- Candidate Targets for Resilience Training to Reduce Transdiagnostic Risk for Mental Illness.Schizophrenia bulletin · 2026Article
- Psychotic symptoms and suicidality: combined findings from a high-risk and a clinical cohort of adolescents.European child & adolescent psychiatry · 2026Article
- Psychological distress and suicidal ideation in patients with depressive disorders: the chain mediation of psychological resilience and neuroticism.International journal of nursing studies advances · 2025Article
- Longitudinal relationships of psychotic-like experiences with suicidal ideation and self-harm in adolescents.European child & adolescent psychiatry · 2024Article
- The relationship between cyberbullying perpetration/victimization and suicidal ideation in healthy young adults: the indirect effects of positive and negative psychotic experiences.BMC psychiatry · 2024Article
- Distress related to psychotic experiences: Enhancing the world health organization composite international diagnostic interview psychosis screen.International journal of methods in psychiatric research · 2023Article
- Mediation effect of insomnia symptoms between positive psychotic like experiences and suicidal ideation among Lebanese young adults.BMC psychiatry · 2023Article
- Interlinking alcohol intake, mental stress, psychotic experiences and job performance of higher institutions' graduates: A structural equation modelling.Journal of education and health promotion · 2022Article
- Mediators of the association between psychotic experiences and future non-suicidal self-injury and suicide attempts: results from a three-wave, prospective adolescent cohort study.European child & adolescent psychiatry · 2021Review
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Authors and funding
5 authors.
Funding
Abstract
purposeResearch has produced inconsistent results with respect to whether the association between psychotic experiences and suicidal behavior is independent of co-occurring clinical and socioenvironmental factors, despite substantial evidence linking the two phenomena. This study tests whether a comprehensive set of demographic, socioenvironmental, and clinical variables account for the statistical association between psychotic experiences and suicidal behaviors.
methodsWe utilized blocked multivariable logistic regression models to analyze the association between 12-month psychotic experiences and 12-month suicide behaviors (ideation, plan, and attempt) on a subsample (N = 2307) of the National Comorbidity Survey Replication. The models adjusted for socio-demographic characteristics, environmental factors in the form of childhood adversity, mental health service utilization, and psychiatric and substance abuse disorders.
resultsPsychotic experiences were significantly associated with suicidal ideation, even after adjusting for socio-demographics, childhood adversity. However, the significant association between psychotic experiences and suicidal ideation was not robust to the inclusion of mental health service utilization and psychiatric disorders. There was no significant association between psychotic experiences and suicide plan. Psychotic experiences were associated with a significantly increased risk of reporting suicide attempts (OR 6.52; 95% CI 1.36-31.11), even after adjusting for the full set of variables.
conclusionsAlthough psychotic experiences were not associated with suicidal ideation after statistical adjustments, psychotic experiences were associated with a significantly increased risk of suicide attempts after the inclusion of common risk factors and co-morbidities. Thus, psychotic experiences should be included in routine psychiatric assessments to identify the individuals most at risk for attempting suicide.
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