TY  - JOUR
PY  - 2008//
TI  - Self-harm in first-episode psychosis
JO  - British journal of psychiatry
A1  - Harvey, Samuel B.
A1  - Dean, Kimberlie
A1  - Morgan, Craig
A1  - Walsh, Eammon
A1  - Demjaha, Arsime
A1  - Dazzan, Paola
A1  - Morgan, Karen
A1  - Lloyd, T.
A1  - Fearon, P.
A1  - Jones, Peter B.
A1  - Murray, Richard M.
SP  - 178
EP  - 184
VL  - 192
IS  - 3
N2  - 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>
LA  - en
SN  - 0007-1250
UR  - http://dx.doi.org/10.1192/bjp.bp.107.037192
ID  - ref1
ER  -