@article{ref1,
title="Drop in suicide rate after first psychosis: a comparison with the situation two decades ago",
journal="Nederlands Tijdschrift voor Geneeskunde",
year="2015",
author="Castelein, S. and Liemburg, E. J. and de Lange, J. S. and van Es, F. D. and Visser, E. and Aleman, A. and Bruggemans, R. and Knegtering, H.",
volume="159",
number="",
pages="A9565-A9565",
abstract="OBJECTIVE: Over two decades ago a study reported that a percentage as high as 11% of the patients with a psychotic disorder in the northern Netherlands died by committing suicide. The primary objective of the current study was to replicate these findings in the same geographical area. A secondary objective was to investigate potential predictors of suicide. <br><br>DESIGN: Retrospective cohort study. <br><br>METHOD: From patient files we identified the current status of all patients who experienced their first episode of psychosis and participated in the Psychosis Recent Onset Groningen-Survey (PROGR-S) between 2000 and 2009. The PROGR-S is a diagnostic protocol for persons with suspected first psychosis. Kaplan-Meier survival analysis was used to identify the current suicide risk in this group and this was compared with the 1973-1988 patients using a log rank test. We also determined the standardized mortality rate in relation to the general population. Cox regression analysis was used to assess significant predictors of suicide. <br><br>RESULTS: The suicide risk dropped drastically over the course of two decades from 11% to 2.4%. Older age was the strongest predictor of suicide. The standardized mortality rate was 41.6. <br><br>CONCLUSION: Despite the significant decline in suicide after a first episode of psychosis, the risk of suicide should be given the highest priority in psychiatric psychosis care, as it is very high at 4162% compared with the suicide risk in general population.<p /> <p>Language: nl</p>",
language="nl",
issn="0028-2162",
doi="",
url="http://dx.doi.org/"
}