ArticleSchizophrenia bulletin2022
Risk Factors for Deliberate Self-harm and Suicide Among Adolescents and Young Adults With First-Episode Psychosis.
Article in Schizophrenia bulletin, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- The Prevalence of Attention Deficit Hyperactivity Disorder in Psychotic Disorders: Systematic Review and Meta-analysis.Schizophrenia bulletin · 2025Pooled it
- Prevalence of suicidal behaviour in adolescents and youth at ultra-high risk for psychosis: A systematic review and meta-analysis.European psychiatry : the journal of the Association of European Psychiatrists · 2025Pooled it
- Prevalence, Risk Factors and Correlates of Deliberate Self-Harm Behaviors in Bangladesh: A Narrative Review of Cross-Sectional Studies (1995-2025).Health science reports · 2026Article
- Global adolescent self-harm (10-19 years): 1990-2021 trends, health inequalities, frontier analysis, and 2035 projections using global burden of disease data.Frontiers in public health · 2026Article
- Ecological Momentary Assessment of Emotion Regulation and Suicidal Ideation in First-Episode Psychosis.Schizophrenia bulletin · 2025Article
- Deliberate Self-Harm Among Youth in the Child Welfare System.JAACAP open · 2025Article
- Reasons for Thinking About Suicide Among Individuals With First-Episode Psychosis: An Ecological Momentary Assessment Study.Early intervention in psychiatry · 2025Article
- Sleep deficiencies and suicidal ideation across the psychosis continuum.Frontiers in psychiatry · 2025Article
- 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
- Racial and Ethnic Disparities in the Diagnosis and Early Treatment of First-Episode Psychosis.Schizophrenia bulletin open · 2024Article
- Emotion-related impulsivity and suicidal ideation and behavior in schizophrenia spectrum disorder: a pilot fMRI study.Frontiers in psychiatry · 2024Article
- Identification of Psychosis Risk and Diagnosis of First-Episode Psychosis: Advice for Clinicians.Psychology research and behavior management · 2024Review
- Population-attributable risk of psychiatric disorders for suicide among adolescents and young adults in Taiwan.Psychological medicine · 2023Article
- Impact of Treatment Initiation and Engagement on Deliberate Self-Harm Among Individuals With First-Episode Psychosis.Psychiatric services (Washington, D.C.) · 2023Article
- Examining Risk Factors for Suicidality in Adolescents and Adults Experiencing Their First Episode of Psychosis.Cureus · 2023Review
- Association Between Social Determinants of Health and Deliberate Self-Harm Among Youths With Psychiatric Diagnoses.Psychiatric services (Washington, D.C.) · 2023Article
- Suicidal and Homicidal Thoughts as Psychotic Symptoms in an Adolescent: A Case Report.Turk psikiyatri dergisi = Turkish journal of psychiatry · 2023Article
- Exploring caregiver experiences with the altitudes digital mental health program: A thematic analysis.Digital healthArticle
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
Little is known about the risk factors for deliberate self-harm (DSH) and suicide among adolescents and young adults with first episode psychosis (FEP) and the longitudinal course of DSH following the initial onset of illness. This study identifies risk factors for DSH and suicide death among Medicaid-covered adolescents and young adults with FEP along with the periods of greatest risk for DSH after diagnosis. A retrospective longitudinal cohort analysis was performed using Medicaid claims data merged with death certificate data for 19 422 adolescents and young adults (aged 15-24 years) diagnosed with the onset of FEP between 2010 and 2017. DSH per 1000 person-years and standardized mortality rates for suicide were determined. Hazard ratios of DSH and suicide were estimated by Cox proportional hazard models. During follow-up, 2148 (11.1%) individuals had at least one self-harm event and 22 (0.1%) died by suicide. The hazards of DSH were significantly higher for those with a previous DSH, suicidal ideation, child abuse and neglect, comorbid medical and psychiatric diagnoses, and prior mental health care. The median follow-up time for those who had DSH was 208.0 days (SD: 526.5 days) in adolescents and 108.0 days (SD: 340.0 days) in young adults. Risk of DSH was highest in the first 3 months following FEP. Individuals with FEP are at high risk for self-harm and suicidal behavior, and recognition of who among these individuals and when following illness onset they are at greatest risk may guide more precise clinical recognition and intervention.
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