Suicidal behavior and related traits among inpatient adolescents with first-episode schizophrenia

Gal Shoval; Joy Feld-Olspanger; Eitan Nahshoni; Doron Gothelf; Sagit Misgav; Iris Manor; Alan Apter; Gil Zalsman

doi:10.1016/j.comppsych.2011.01.005

Suicidal behavior and related traits among inpatient adolescents with first-episode schizophrenia

Gal Shoval, Joy Feld-Olspanger, Eitan Nahshoni, Doron Gothelf, Sagit Misgav, Iris Manor, Alan Apter, Gil Zalsman

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

Purpose: Suicide is a major cause of death in adolescents with first-episode schizophrenia (FES). The aim of this pilot study was to compare suicide-related traits between subjects with FES and those with other psychopathologies to evaluate risk factors for suicidal behavior. Method: Twenty-five inpatient adolescents with FES and a control group of 28 psychiatric inpatients matched for sex and age were assessed for depression, anger, criminal behavior, aggression, and suicidal ideation, risk, and potential. Results: The adolescents with FES had significantly lower depression (P =.003), anger (P =.025), and criminal behavior (P =.022) than did the controls. However, although suicide ideation was greater in the subjects with FES (P =.003), suicide risk was significantly lower than that in controls (P =.004). Conclusion: Decreased levels of both depression and anger as part of affective constriction in the group with schizophrenia could explain why the increased suicide ideation did not lead to a higher suicide risk in these inpatients. This study highlights the importance of distinguishing between suicidal ideation and actual suicide risk. We demonstrated that thoughts of suicide do not necessarily translate into an actual risk of suicidal behavior in adolescents with schizophrenia.

Original language	English
Pages (from-to)	596-599
Number of pages	4
Journal	Comprehensive Psychiatry
Volume	52
Issue number	6
DOIs	https://doi.org/10.1016/j.comppsych.2011.01.005
State	Published - Nov 2011
Externally published	Yes

Bibliographical note

Funding Information:
Funding of this study was provided by the Judie and Marshall Polk Research Fund for Children at Risk . The authors wish to thank Mrs Cindy Cohen for English and scientific editing.

Funding

Funding of this study was provided by the Judie and Marshall Polk Research Fund for Children at Risk . The authors wish to thank Mrs Cindy Cohen for English and scientific editing.

Funders	Funder number
Judie and Marshall Polk Research Fund for Children at Risk

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.comppsych.2011.01.005

Cite this

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title = "Suicidal behavior and related traits among inpatient adolescents with first-episode schizophrenia",

abstract = "Purpose: Suicide is a major cause of death in adolescents with first-episode schizophrenia (FES). The aim of this pilot study was to compare suicide-related traits between subjects with FES and those with other psychopathologies to evaluate risk factors for suicidal behavior. Method: Twenty-five inpatient adolescents with FES and a control group of 28 psychiatric inpatients matched for sex and age were assessed for depression, anger, criminal behavior, aggression, and suicidal ideation, risk, and potential. Results: The adolescents with FES had significantly lower depression (P =.003), anger (P =.025), and criminal behavior (P =.022) than did the controls. However, although suicide ideation was greater in the subjects with FES (P =.003), suicide risk was significantly lower than that in controls (P =.004). Conclusion: Decreased levels of both depression and anger as part of affective constriction in the group with schizophrenia could explain why the increased suicide ideation did not lead to a higher suicide risk in these inpatients. This study highlights the importance of distinguishing between suicidal ideation and actual suicide risk. We demonstrated that thoughts of suicide do not necessarily translate into an actual risk of suicidal behavior in adolescents with schizophrenia.",

author = "Gal Shoval and Joy Feld-Olspanger and Eitan Nahshoni and Doron Gothelf and Sagit Misgav and Iris Manor and Alan Apter and Gil Zalsman",

note = "Funding Information: Funding of this study was provided by the Judie and Marshall Polk Research Fund for Children at Risk . The authors wish to thank Mrs Cindy Cohen for English and scientific editing.",

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T1 - Suicidal behavior and related traits among inpatient adolescents with first-episode schizophrenia

AU - Shoval, Gal

AU - Feld-Olspanger, Joy

AU - Nahshoni, Eitan

AU - Gothelf, Doron

AU - Misgav, Sagit

AU - Manor, Iris

AU - Apter, Alan

AU - Zalsman, Gil

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N2 - Purpose: Suicide is a major cause of death in adolescents with first-episode schizophrenia (FES). The aim of this pilot study was to compare suicide-related traits between subjects with FES and those with other psychopathologies to evaluate risk factors for suicidal behavior. Method: Twenty-five inpatient adolescents with FES and a control group of 28 psychiatric inpatients matched for sex and age were assessed for depression, anger, criminal behavior, aggression, and suicidal ideation, risk, and potential. Results: The adolescents with FES had significantly lower depression (P =.003), anger (P =.025), and criminal behavior (P =.022) than did the controls. However, although suicide ideation was greater in the subjects with FES (P =.003), suicide risk was significantly lower than that in controls (P =.004). Conclusion: Decreased levels of both depression and anger as part of affective constriction in the group with schizophrenia could explain why the increased suicide ideation did not lead to a higher suicide risk in these inpatients. This study highlights the importance of distinguishing between suicidal ideation and actual suicide risk. We demonstrated that thoughts of suicide do not necessarily translate into an actual risk of suicidal behavior in adolescents with schizophrenia.

AB - Purpose: Suicide is a major cause of death in adolescents with first-episode schizophrenia (FES). The aim of this pilot study was to compare suicide-related traits between subjects with FES and those with other psychopathologies to evaluate risk factors for suicidal behavior. Method: Twenty-five inpatient adolescents with FES and a control group of 28 psychiatric inpatients matched for sex and age were assessed for depression, anger, criminal behavior, aggression, and suicidal ideation, risk, and potential. Results: The adolescents with FES had significantly lower depression (P =.003), anger (P =.025), and criminal behavior (P =.022) than did the controls. However, although suicide ideation was greater in the subjects with FES (P =.003), suicide risk was significantly lower than that in controls (P =.004). Conclusion: Decreased levels of both depression and anger as part of affective constriction in the group with schizophrenia could explain why the increased suicide ideation did not lead to a higher suicide risk in these inpatients. This study highlights the importance of distinguishing between suicidal ideation and actual suicide risk. We demonstrated that thoughts of suicide do not necessarily translate into an actual risk of suicidal behavior in adolescents with schizophrenia.

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Suicidal behavior and related traits among inpatient adolescents with first-episode schizophrenia

Abstract

Bibliographical note

Funding

UN SDGs

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