TY  - JOUR
PY  - 2019//
TI  - Psychotic symptoms predict suicidal behavior postdischarge in high risk psychiatric inpatients
JO  - Journal of Psychiatric Practice
A1  - Barzilay, Shira
A1  - Assounga, Krystel
A1  - Kim, Hae-Joon
A1  - Rudner, Elvira
A1  - Yaseen, Zimri
A1  - Galynker, Igor
SP  - 418
EP  - 426
VL  - 25
IS  - 6
N2  - BACKGROUND: Psychotic disorders, as well as psychotic symptoms, are associated with a greater lifetime risk of suicidal behavior (SB). It is not known, however, whether psychotic symptoms are independent predictors for short-term SB. <br><br>METHODS: Data were collected from 201 psychiatric inpatients at Mount Sinai Beth Israel Hospital. Self-reported psychotic symptoms were assessed using the Brief Symptom Inventory (BSI). Postdischarge SB defined as an aborted, interrupted, or actual suicide attempt was assessed using the Columbia-Suicide Severity Rating Scale (C-SSRS), during the 4 to 8 weeks following discharge from an inpatient psychiatric unit (n=127, 63% retention). Logistic regressions were performed to assess the relationships between psychotic symptoms and SB, controlling for primary psychiatric disorders. <br><br>RESULTS: Self-reported psychotic symptoms were associated with subsequent postdischarge SB. There was no significant difference between the SB versus no SB groups on the basis of primary psychiatric disorder. Self-reported psychotic symptoms remained an independent and significant predictor of postdischarge SB when the analysis controlled for primary psychiatric disorder. <br><br>CONCLUSIONS: These results suggest that psychotic symptoms are a dimensional predictor of near-term postdischarge SB and are a necessary component of suicide risk assessment during inpatient hospitalization, independent of psychiatric diagnosis.<p />  <p>Language: en</p>
LA  - en
SN  - 1527-4160
UR  - http://dx.doi.org/10.1097/PRA.0000000000000421
ID  - ref1
ER  -