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Suicidal behaviour in psychosis: Prevalence and predictors from a randomised controlled trial of case management: Report from the UK700 trial

  • Elizabeth Walsh (a1), Kate Harvey (a2), Ian White (a3), Anna Higgitt (a4), Janelle Fraser (a5) and Robin Murray (a1)...
Abstract
Background

It is unclear whether intensive case management influences the prevalence of suicidal behaviour in patients with psychosis.

Aims

To compare the effect of intensive case management and standard care on prevalence of suicidal behaviour in patients with chronic psychosis.

Method

Patients with established psychosis (n=708) were randomised either to intensive case management or to standard care. The prevalence of suicidal behaviour was estimated at 2-year follow-up and compared between treatment groups. Suicide attempters and non-attempters were compared on multiple socio-demographic and clinical variables to identify predictors of suicidal behaviour.

Results

There was no significant difference in prevalence of suicidal behaviour between treatment groups. Recent attempts at suicide and multiple recent hospital admissions best predicted future attempts.

Conclusions

Intensive case management does not appear to influence the prevalence of suicidal behaviour in chronic psychosis. Predictors identified in this study confirm some previous findings.

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Copyright
Corresponding author
Dr Elizabeth Walsh, Division of Psychological Medicine, Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF
Footnotes
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Declaration of interest

E.W. was funded by a Wellcome Training Fellowship. The UK700 trial was funded by grants from the UK Department of Health and NHS Research and Development programme.

Footnotes
References
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Suicidal behaviour in psychosis: Prevalence and predictors from a randomised controlled trial of case management: Report from the UK700 trial

  • Elizabeth Walsh (a1), Kate Harvey (a2), Ian White (a3), Anna Higgitt (a4), Janelle Fraser (a5) and Robin Murray (a1)...
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