@article{ref1,
title="Self-harm in first-episode psychosis",
journal="British journal of psychiatry",
year="2008",
author="Harvey, Samuel B. and Dean, Kimberlie and Morgan, Craig and Walsh, Eammon and Demjaha, Arsime and Dazzan, Paola and Morgan, Karen and Lloyd, T. and Fearon, P. and Jones, Peter B. and Murray, Richard M.",
volume="192",
number="3",
pages="178-184",
abstract="BACKGROUND: Little is known about self-harm occurring during the period of untreated first-episode psychosis. AIMS: To establish the prevalence, nature, motivation and risk factors for self-harm occurring during the untreated phase of first-episode psychosis. METHOD: As part of the AESOP (Aetiology and Ethnicity in Schizophrenia and Other Psychoses) study, episodes of self-harm were identified among all incident cases of psychosis presenting to services in south-east London and Nottingham over a 2-year period. RESULTS: Of the 496 participants, 56 (11.3%) had engaged in self-harm between the onset of psychotic symptoms and first presentation to services. The independent correlates of self-harm were: male gender, belonging to social class I/II, depression and a prolonged period of untreated psychosis. Increased insight was also associated with risk of self-harm. CONCLUSIONS: Self-harm is common during the pre-treatment phase of first-episode psychosis. A unique set of fixed and malleable risk factors appear to operate in those with first-episode psychosis. Reducing treatment delay and modifying disease attitudes may be key targets for suicide prevention.<p /> <p>Language: en</p>",
language="en",
issn="0007-1250",
doi="10.1192/bjp.bp.107.037192",
url="http://dx.doi.org/10.1192/bjp.bp.107.037192"
}