SynthesisSocial psychiatry and psychiatric epidemiology2021
A systematic review of longitudinal studies of suicidal thoughts and behaviors in first-episode psychosis: course and associated factors.
Synthesis in Social psychiatry and psychiatric epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.
- All-cause mortality risk in long-acting injectable versus oral antipsychotics in schizophrenia: a systematic review and meta-analysis.Molecular psychiatry · 2025Pooled it
- Preparing an Intervention to Increase Engagement with the 988 Suicide and Crisis Lifeline Resource among Community Mental Health Consumers with Schizophrenia Spectrum Disorders.Community mental health journal · 2026Article
- The role of psychotropic medication, alcohol, illicit drugs, and suicidal intention in fatal motor vehicle accidents involving drivers with psychotic disorders.European journal of public health · 2026Article
- Gaming Disorder in First Episode Psychosis: Prevalence and Impact on Symptomatology and Functioning in a Prospective Cohort Study.Schizophrenia bulletin · 2026Article
- Identifying Transdiagnostic Predictors of Depression across Psychoses: Informing Stratified Antidepressant Treatments.Psychotherapy and psychosomatics · 2026Article
- Ecological Momentary Assessment of Emotion Regulation and Suicidal Ideation in First-Episode Psychosis.Schizophrenia bulletin · 2025Article
- The association between thought disturbance and suicidal ideation within and across ethnoracial groups of juvenile legal system-involved youth.Children and youth services review · 2025Article
- Analyzing Trends in Suicidal Thoughts Among Patients With Psychosis in India: Exploratory Secondary Analysis of Smartphone Ecological Momentary Assessment Data.JMIR formative research · 2025Article
- Lifetime suicidal thoughts, attempts, and lethality of attempts as major outcome domains of psychotic disorders: a 21-year prospective cohort study after a first-episode psychosis.Psychological medicine · 2025Article
- Reasons for Thinking About Suicide Among Individuals With First-Episode Psychosis: An Ecological Momentary Assessment Study.Early intervention in psychiatry · 2025Article
- Objective and subjective suicidal intent are differentially associated with attempt lethality based on age of onset of suicidal behavior.Scientific reports · 2025Article
- Sleep deficiencies and suicidal ideation across the psychosis continuum.Frontiers in psychiatry · 2025Article
- Exploring the Relationship Between Suicidality and Persistent Negative Symptoms Following a First Episode of Psychosis.Schizophrenia bulletin · 2024Article
- Suicidality among clients in a network of coordinated specialty care (CSC) programs for first-episode psychosis: Rates, changes in rates, and their predictors.Schizophrenia research · 2024Article
- Chronicity of self-harming behaviors among adolescent teenage girls living in refugee settlements in Northern Uganda.BMC psychology · 2024Article
- A cognitive-behavioral treatment for suicide prevention among adults with schizophrenia spectrum disorders in community mental health: Study protocol for a pilot feasibility and acceptability randomized clinical trial.Pilot and feasibility studies · 2024Article
- Similar and different? A cross-cultural comparison of the prevalence, course of and factors associated with suicidal thoughts and behaviors in first-episode psychosis in Chennai, India and Montreal, Canada.The International journal of social psychiatry · 2024Article
- The relationship between visual hallucinations, functioning, and suicidality over the course of illness: a 10-year follow-up study in first-episode psychosis.Schizophrenia (Heidelberg, Germany) · 2024Article
- A call to action: informing research and practice in suicide prevention among individuals with psychosis.Frontiers in psychiatry · 2024Article
- Psychosis Symptom Trajectories Across Childhood and Adolescence in Three Longitudinal Studies: An Integrative Data Analysis with Mixture Modeling.Prevention science : the official journal of the Society for Prevention Research · 2023Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposesTo better assess and reduce suicidal risk in first-episode psychosis (FEP), we aimed to investigate the evolution of suicidal thoughts and behaviors (STBs) and associated factors in FEP.
methodThis systematic review (PROSPERO-CRD42020168050) meets PRISMA guidelines. PubMed, Medline, PsycINFO, Embase, EBM Reviews and references lists of relevant articles were searched (February 2020) to identify longitudinal studies, published in English or in French, that assessed the prevalence of STBs at entry to services and over follow-up, and examined factors associated with STBs among all persons with affective and non-affective FEP from a defined catchment area. Screening, data extraction and quality assessment using the adapted Newcastle Ottawa Scale were done independently by two reviewers. Results on prevalence and associated factors are presented by type of STB.
resultsOf 3,177 references, 17 studies of 11 non-overlapping samples (n = 14,907) with varying lengths of follow-up (1-41.7 years) were included. The prevalence of STBs decreased over follow-up. Up to 21.6% made at least one suicide attempt, 27% had suicidal ideation, and 1-4.3% died by suicide during follow-up. Of 53 factors assessed across studies, only male sex, depressive symptoms, and STBs occurring early during follow-up were associated with subsequent STBs. Early intervention for psychosis decreased STBs in the first three years. Other factors were assessed in a single study, yielded conflicting results, or were not associated with STBs.
conclusionsThe high prevalence of STBs following onset of psychosis highlights the need for early detection and intervention and ongoing assessment of suicidal risk throughout follow-up, with attention to identified risk factors. The heterogeneity of the studies precluded a meta-analysis and several factors were each assessed by a single study. Additional well-designed longitudinal studies of STBs and associated factors are warranted.
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