@article{ref1,
title="Understanding suicidal ideation in psychosis: findings from the Psychological Prevention of Relapse in Psychosis (PRP) trial",
journal="Acta psychiatrica Scandinavica",
year="2006",
author="Fialko, L. and Freeman, D. and Bebbington, P. E. and Kuipers, E. and Garety, P. A. and Dunn, G. and Fowler, D.",
volume="114",
number="3",
pages="177-186",
abstract="OBJECTIVE: To examine the clinically important phenomenon of suicidal ideation in psychosis in relation to affective processes and the multidimensional nature of hallucinations and delusions. METHOD: In a cross-sectional study of 290 individuals with psychosis, the associations between level of suicidal ideation, affective processes, positive symptoms, clinical and demographic variables were examined. RESULTS: Forty-one per cent of participants expressed current suicidal ideation. Suicidal ideation was associated with depressed mood, anxiety, low self-esteem, negative illness perceptions, negative evaluative beliefs about the self and others and daily alcohol consumption. Frequency of auditory hallucinations and preoccupation with delusions were not associated with suicidal ideation; however, positive symptom distress did relate to suicidal thoughts. CONCLUSION: Affective dysfunction, including distress in response to hallucinations and delusions, was a key factor associated with suicidal ideation in individuals with psychotic relapse. Suicidal ideation in psychosis appears to be an understandable, mood-driven process, rather than being of irrational or 'psychotic' origin.<p /><p>Language: en</p>",
language="en",
issn="0001-690X",
doi="10.1111/j.1600-0447.2006.00849.x",
url="http://dx.doi.org/10.1111/j.1600-0447.2006.00849.x"
}