@article{ref1,
title="Early insight predicts depression and attempted suicide after 4 years in first-episode schizophrenia and schizophreniform disorder",
journal="Acta psychiatrica Scandinavica",
year="2005",
author="Crumlish, N. and Whitty, P. and Kamali, M. and Clarke, M. and Browne, S. and McTigue, O. and Lane, A. and Kinsella, A. and Larkin, C. and O'Callaghan, E.",
volume="112",
number="6",
pages="449-455",
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.<p /><p>Language: en</p>",
language="en",
issn="0001-690X",
doi="10.1111/j.1600-0447.2005.00620.x",
url="http://dx.doi.org/10.1111/j.1600-0447.2005.00620.x"
}