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. 2005 Dec;112(6):449-55.
doi: 10.1111/j.1600-0447.2005.00620.x.

Early insight predicts depression and attempted suicide after 4 years in first-episode schizophrenia and schizophreniform disorder

N Crumlish  1 , P Whitty, M Kamali, M Clarke, S Browne, O McTigue, A Lane, A Kinsella, C Larkin, E O'Callaghan
Affiliations

Early insight predicts depression and attempted suicide after 4 years in first-episode schizophrenia and schizophreniform disorder

N Crumlish et al. Acta Psychiatr Scand. 2005 Dec.

Abstract

Objective: To map the development of insight in the 4 years after presentation with first-episode schizophrenia and schizophreniform disorder and to determine the effects of evolving insight on depression and the likelihood of attempted suicide.

Method: We assessed 101 individuals at presentation, 6 months and 4 years. We measured insight, including recognition of mental illness, recognition of need for treatment and ability to relabel psychotic symptoms. We measured depression and recorded all suicide attempts.

Results: Insight improved with time. Recognition of mental illness at 6 months predicted depression and attempted suicide at 4 years.

Conclusion: Six months after presentation, the greater the acknowledgement by people that they had a mental illness, the more depressed they were at 4 years and the greater the likelihood that they would attempt suicide by 4 years. This may have implications for disclosure of diagnosis.

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