TY  - JOUR
PY  - 2019//
TI  - Suicidal ideation and behaviour in patients with persecutory delusions: prevalence, symptom associations, and psychological correlates
JO  - Comprehensive psychiatry
A1  - Freeman, Daniel
A1  - Bold, Emily
A1  - Chadwick, Eleanor
A1  - Taylor, Kathryn M.
A1  - Collett, Nicola
A1  - Diamond, Rowan
A1  - Cernis, Emma
A1  - Bird, Jessica C.
A1  - Isham, Louise
A1  - Forkert, Ava
A1  - Carr, Lydia
A1  - Causier, Chiara
A1  - Waite, Felicity
SP  - 41
EP  - 47
VL  - 93
IS  - 
N2  - BACKGROUND: To determine the prevalence of suicidal ideation and behaviour - and their correlates - in patients with persecutory delusions. <br><br>METHODS: 110 patients with persecutory delusions in the context of non-affective psychosis were assessed for suicidal thoughts and behaviours over the past month. Symptom and psychological assessments were also completed. <br><br>RESULTS: The severity of suicidal ideation was: no suicidal ideation (n = 26, 23.6%); wish to be dead (n = 21, 19.1%); nonspecific active suicidal thoughts (n = 14, 12.7%); suicidal thoughts with methods but no intent (n = 29, 26.4%); suicidal thoughts with intent but no specific plan (n = 13, 11.8%); and suicidal intent with plan (n = 7, 6.4%). In the past month, five patients (4.5%) had made an actual, interrupted, or aborted suicide attempt. The severity of suicidal ideation was associated with higher levels of depression, paranoia, hallucinations, anger, insomnia, negative beliefs about the self and others, pessimism, worry, and delusion safety-seeking behaviours and lower levels of psychological well-being and reward responsiveness. Severity of ideation was not associated with cannabis or alcohol use, working memory, pain, or meaningful activity levels. <br><br>CONCLUSIONS: Patients with persecutory delusions are typically in a severe state of psychological stress, and at risk of suicide, as indicated by very high levels of suicidal ideation. This exploratory study also identifies correlates of suicidal ideation that could be investigated in causal research designs.<br><br>Copyright © 2019 The Authors. Published by Elsevier Inc. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0010-440X
UR  - http://dx.doi.org/10.1016/j.comppsych.2019.07.001
ID  - ref1
ER  -