Evidence map›Paper›PMID 39298811›Full record

ArticleSchizophrenia research2024

Suicidality among clients in a network of coordinated specialty care (CSC) programs for first-episode psychosis: Rates, changes in rates, and their predictors.

Peter Phalen, Nev Jones, Beshaun Davis, Deepak Sarpal, Faith Dickerson, Crystal Vatza, Megan Jumper, Adam Kuczynski, Elizabeth Thompson, Samantha Jay and 27 more

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In one paragraph

Article in Schizophrenia research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

37 authors.

Peter PhalenDivision of Psychiatric Services Research, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA. Electronic address: pphalen@som.umaryland.edu.
Nev JonesSchool of Social Work, University of Pittsburgh, Pittsburgh, PA, USA; Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Beshaun DavisNational Institute of Mental Health, Bethesda, MD, USA.
Deepak SarpalDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Faith DickersonDepartment of Psychology, Sheppard Pratt, Baltimore, MD, USA.
Crystal VatzaNeurodevelopment and Psychosis Section, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Megan JumperNeurodevelopment and Psychosis Section, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Adam KuczynskiDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.
Elizabeth ThompsonAlpert Medical School, Brown University, USA.
Samantha JayUniversity of Maryland Baltimore County, Baltimore, MD, USA.
Robert BuchananMaryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA.
K N Roy ChengappaDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Richard GoldbergDivision of Psychiatric Services Research, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA.
Julie KreyenbuhlDivision of Psychiatric Services Research, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA.
Russell MargolisDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Fanghong DongDepartment of Psychiatry, Washington University in St. Louis, St. Louis, MO, USA.
Jessie RiggsNeurodevelopment and Psychosis Section, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Alex MoxamNeurodevelopment and Psychosis Section, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, USA.
Elizabeth BurrisWesley Family Services First Episode Psychosis Program-ENGAGE, USA.
Philip CampbellNeurodevelopment and Psychosis Section, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Akinyi CookeJohns Hopkins Bayview Medical Center Community Psychiatry Program, Baltimore, MD, USA.
Arielle EredNeurodevelopment and Psychosis Section, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Mandy FaubleUPMC Western Behavioral Health at Safe Harbor, Erie, PA, USA.
Carolyn HowellJohns Hopkins Bayview Medical Center Community Psychiatry Program, Baltimore, MD, USA.
Christian KellyUniversity of Pittsburgh Medical Center, Western Psychiatric Hospital, Pittsburgh, PA, USA.
Denise NamowiczChildren's Services Center, Wilkes Barre, PA, USA.
Krissa RouseFirst Episode Clinic/Maryland Psychiatric Research Center, University of Maryland School of Medicine, Catonsville, MD, USA.
William SmithNeurodevelopment and Psychosis Section, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Max WolcottJohns Hopkins Bayview Medical Center Community Psychiatry Program, Baltimore, MD, USA.
Yasmine BoumaizDivision of Psychiatric Services Research, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA.
Alexander HarvinDepartment of Psychology, Sheppard Pratt, Baltimore, MD, USA.
Rachel ScheinbergDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Arunadevi SaravanaDivision of Psychiatric Services Research, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA.
Swati NayarDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Christian KohlerNeurodevelopment and Psychosis Section, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Monica E CalkinsNeurodevelopment and Psychosis Section, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Melanie BennettDivision of Psychiatric Services Research, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA.

Funding

UMB Admin CoreP01MH139228 · NIMH · UNIVERSITY OF MARYLAND BALTIMORE · PI MELANIE E. BENNETT · 2024 to 2026
$6.3M
Improving Engagement in Black Clients Participating in Coordinated Specialty Care: A Mixed Methods Pilot StudyR01MH120550 · NIMH · UNIVERSITY OF MARYLAND BALTIMORE · PI BENNETT, MELANIE E. · 2020 to 2023
$5.9M
Optimizing Disability Benefit Decisions and Outcomes in First Episode PsychosisR01MH125868 · NIMH · UNIVERSITY OF MARYLAND BALTIMORE · PI GOLDMAN, HOWARD H, JONES, GENEVRA · 2022 to 2024
$1.6M
Targeting Emotion Dysregulation to Reduce Suicide in People with PsychosisK23MH125024 · NIMH · UNIVERSITY OF MARYLAND BALTIMORE · PI PHALEN, PETER LEE · 2022 to 2025
$711k
NIMH NIH HHS K23 MH125024NIMH NIH HHS P01 MH139228NIMH NIH HHS R01 MH120550NIMH NIH HHS R01 MH125868
6 · The paper itself

Abstract

backgroundPeople experiencing their first episode of psychosis have high risk of suicide, and programs specializing in early psychosis have not always achieved reduced risk. The present study analyzes patterns of suicide ideation, self-harm, and suicide attempts within the Connection Learning Healthcare System of 23 early psychosis programs in Pennsylvania and Maryland that follow the Coordinated Specialty Care treatment model.

methodPeople with first episode psychosis (n = 1101) were assessed at admission and every six months using a standardized battery that included self-reported past-month ideation and clinician-reported past-six-month ideation, self-harm, and suicide attempts.

resultsAt admission, there were 28 % rates of self-reported past-month suicide ideation and 52 % rates clinician-reported past-six-month suicide ideation, 23 % rate of clinician-reported self-harm, and 15 % rate of attempts. After the first six months of treatment there were significantly lower rates of clinician-reported suicidality (with reductions of at least 77 %), and after the first year of treatment there was significantly lower self-reported ideation (with approximately 54 % reporting lower past-month ideation). Changes were not accounted for by differential early discharge. A range of psychosocial variables predicted within- and between-subject variability in suicidality. Social and role functioning, depressive symptom severity, and a sense of recovery were significant within-subject predictors of all four measures of suicidality.

conclusionsCompared to admission, we observed substantially lower rates of suicidality within the first year of treatment for clients with first episode psychosis in Coordinated Specialty Care. Reductions were predicted by some of the variables targeted by the treatment model.

Indexed as

Psychotic DisordersSuicidal IdeationAdolescentAdultFemaleHumansMaleMarylandPennsylvaniaPsychiatric Status Rating ScalesSelf-Injurious BehaviorSuicide, AttemptedYoung AdultEarly psychosisSchizophreniaServicesSuicide

Identifiers

PMID39298811
PMCPMC12118571

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.