Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

Attenuated psychosis and basic self-disturbance as risk factors for depression and suicidal ideation/behaviour in community-dwelling adolescents

Research output: Contribution to journalJournal articleResearchpeer-review

DOI

  1. Concordance of child self-reported psychotic experiences with interview- and observer-based psychotic experiences

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Development of a fidelity scale for Danish specialized early interventions service

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Exploring schizophrenia spectrum psychopathology in borderline personality disorder

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Schizophrenia-spectrum psychopathology in obsessive-compulsive disorder: an empirical study

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Altered self-recognition in schizophrenia - A reply to critics

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. 'The schizophrenic basic mood (self-disorder)', by Hans W Gruhle (1929)

    Research output: Contribution to journalJournal articleResearchpeer-review

  • Dan Koren
  • Lily Rothschild-Yakar
  • Liza Lacoua
  • Anat Brunstein-Klomek
  • Aya Zelezniak
  • Josef Parnas
  • Golan Shahar
View graph of relations

BACKGROUND AND AIMS: Adolescents at clinical high risk (CHR) for psychosis, as defined by the presence of attenuated psychosis symptoms (APS), exhibit increased levels of suicidal ideation and behaviour. However, no research thus far has examined the link between basic self-disturbances (SDs), an established marker for CHR, and suicidality/self-harm in this population. The goal of this pilot study was to assess the association between SD, depression and suicidal ideation and behaviour among non-help-seeking adolescents from the community.

METHOD: A total of 100 community-dwelling adolescents (age range: 13-16) were assessed using the Examination of Anomalous Self-experience, Prodromal Questionnaire, Structured Interview for Prodromal Syndromes, Mood and Anxiety Symptom Questionnaire and the Schedule for Affective Disorders and Schizophrenia for School-Age Children (K-SADS). The K-SADS was used to derive a binary diagnosis of unipolar depression, as well as to measure suicidal ideation and behaviour and self-harm.

RESULTS: In a multiple regression analysis, SD accounted for variance in depressive symptoms and suicidality/self-harm over and above that accounted for by APS. Moreover, SD accounted for variance in suicidality/self-harm over and above that accounted for by depression symptoms.

CONCLUSIONS: These pilot results suggest that SD might be a unique dimension of vulnerability to depression and suicidality/self-harm in adolescence. Also, they encourage assessment of SD as part of a suicide risk assessment, particularly in the context of risk for subsequent psychosis.

Original languageEnglish
JournalEarly Intervention in Psychiatry
Volume13
Issue number3
Pages (from-to)532-538
Number of pages7
ISSN1751-7885
DOIs
Publication statusPublished - 2019

    Research areas

  • Journal Article, Psychosis, Self-disturbance, Depression, Clinical high risk, Suicide, Humans, Risk Factors, Suicide, Attempted/psychology, Male, Suicidal Ideation, Self-Injurious Behavior/diagnosis, Prodromal Symptoms, Ego, Depressive Disorder/diagnosis, Pilot Projects, Adolescent, Independent Living/psychology, Female, Psychotic Disorders/diagnosis, Surveys and Questionnaires, Depressive Disorder, Major/diagnosis

ID: 52363263