Cargando…

O9.3. PSYCHOTIC EXPERIENCES IN COMMON MENTAL DISORDERS AND AS CLINICAL MARKERS OF RISK FOR SUICIDAL BEHAVIOUR

BACKGROUND: A high risk for suicidal behaviour has long been recognized in psychotic disorders. More recently, research has demonstrated that subclinical psychotic experiences are strong markers of risk for suicidal behaviour. Whether PEs are specific risk markers for suicidal behaviour, beyond the...

Descripción completa

Detalles Bibliográficos
Autor principal: Kelleher, Ian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5888335/
http://dx.doi.org/10.1093/schbul/sby015.247
_version_ 1783312500068974592
author Kelleher, Ian
author_facet Kelleher, Ian
author_sort Kelleher, Ian
collection PubMed
description BACKGROUND: A high risk for suicidal behaviour has long been recognized in psychotic disorders. More recently, research has demonstrated that subclinical psychotic experiences are strong markers of risk for suicidal behaviour. Whether PEs are specific risk markers for suicidal behaviour, beyond the indirect risk resulting from co-occurring psychopathology, remains unclear. METHODS: This study used a stratified, multi-stage probability sample of households in England to recruit a nationally representative sample aged 16 years and over (N=7,403). Participants were assessed for psychotic experiences, suicide attempts, common mental disorders and borderline personality disorder/traits. RESULTS: Psychotic experiences were reported by approximately 4% (n=323) of the total sample and were prevalent across the full range of mental disorders: the highest prevalence in non-psychotic disorders was in individuals with agoraphobia, nearly a quarter of whom reported psychotic experiences. Eighteen percent of individuals with social phobia reported hallucinations, as did 17% of individuals with OCD, 14% of individuals with depression, and 11% of individuals with generalised anxiety disorder. Psychotic experiences were risk markers for suicide attempts, regardless of whether they occurred in individuals with a common mental disorder (OR=2.47, 95%CI=1.37–4.43), individuals without a common mental disorder (OR=3.99, 95%CI=2.47–6.43), individuals with high borderline personality disorder traits (OR=2.23, 95%CI=1.03–4.85) or individuals without significant borderline personality disorder traits (OR=2.47, 95%CI=1.37–4.43). DISCUSSION: Psychotic experiences are prevalent across a wide range of (non-psychotic) mental disorders. They demonstrate a strong relationship with suicidal behaviour, beyond that explained by co-occurring mental disorder diagnoses.
format Online
Article
Text
id pubmed-5888335
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Oxford University Press
record_format MEDLINE/PubMed
spelling pubmed-58883352018-04-11 O9.3. PSYCHOTIC EXPERIENCES IN COMMON MENTAL DISORDERS AND AS CLINICAL MARKERS OF RISK FOR SUICIDAL BEHAVIOUR Kelleher, Ian Schizophr Bull Abstracts BACKGROUND: A high risk for suicidal behaviour has long been recognized in psychotic disorders. More recently, research has demonstrated that subclinical psychotic experiences are strong markers of risk for suicidal behaviour. Whether PEs are specific risk markers for suicidal behaviour, beyond the indirect risk resulting from co-occurring psychopathology, remains unclear. METHODS: This study used a stratified, multi-stage probability sample of households in England to recruit a nationally representative sample aged 16 years and over (N=7,403). Participants were assessed for psychotic experiences, suicide attempts, common mental disorders and borderline personality disorder/traits. RESULTS: Psychotic experiences were reported by approximately 4% (n=323) of the total sample and were prevalent across the full range of mental disorders: the highest prevalence in non-psychotic disorders was in individuals with agoraphobia, nearly a quarter of whom reported psychotic experiences. Eighteen percent of individuals with social phobia reported hallucinations, as did 17% of individuals with OCD, 14% of individuals with depression, and 11% of individuals with generalised anxiety disorder. Psychotic experiences were risk markers for suicide attempts, regardless of whether they occurred in individuals with a common mental disorder (OR=2.47, 95%CI=1.37–4.43), individuals without a common mental disorder (OR=3.99, 95%CI=2.47–6.43), individuals with high borderline personality disorder traits (OR=2.23, 95%CI=1.03–4.85) or individuals without significant borderline personality disorder traits (OR=2.47, 95%CI=1.37–4.43). DISCUSSION: Psychotic experiences are prevalent across a wide range of (non-psychotic) mental disorders. They demonstrate a strong relationship with suicidal behaviour, beyond that explained by co-occurring mental disorder diagnoses. Oxford University Press 2018-04 2018-04-01 /pmc/articles/PMC5888335/ http://dx.doi.org/10.1093/schbul/sby015.247 Text en © Maryland Psychiatric Research Center 2018. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Kelleher, Ian
O9.3. PSYCHOTIC EXPERIENCES IN COMMON MENTAL DISORDERS AND AS CLINICAL MARKERS OF RISK FOR SUICIDAL BEHAVIOUR
title O9.3. PSYCHOTIC EXPERIENCES IN COMMON MENTAL DISORDERS AND AS CLINICAL MARKERS OF RISK FOR SUICIDAL BEHAVIOUR
title_full O9.3. PSYCHOTIC EXPERIENCES IN COMMON MENTAL DISORDERS AND AS CLINICAL MARKERS OF RISK FOR SUICIDAL BEHAVIOUR
title_fullStr O9.3. PSYCHOTIC EXPERIENCES IN COMMON MENTAL DISORDERS AND AS CLINICAL MARKERS OF RISK FOR SUICIDAL BEHAVIOUR
title_full_unstemmed O9.3. PSYCHOTIC EXPERIENCES IN COMMON MENTAL DISORDERS AND AS CLINICAL MARKERS OF RISK FOR SUICIDAL BEHAVIOUR
title_short O9.3. PSYCHOTIC EXPERIENCES IN COMMON MENTAL DISORDERS AND AS CLINICAL MARKERS OF RISK FOR SUICIDAL BEHAVIOUR
title_sort o9.3. psychotic experiences in common mental disorders and as clinical markers of risk for suicidal behaviour
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5888335/
http://dx.doi.org/10.1093/schbul/sby015.247
work_keys_str_mv AT kelleherian o93psychoticexperiencesincommonmentaldisordersandasclinicalmarkersofriskforsuicidalbehaviour