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Suicide ideation and first episode psychosis in Hong Kong

Patients with psychosis comprise a high-risk group in terms of suicide behaviors especially in the early phases. Suicide ideation on the other hand acts as the starting point along the chain of suicide. However less is known about suicide ideation among patients at their first-episode psychosis (FEP).

Present study investigated contributing factors in suicidal ideation among FEP patients in Hong Kong. FEP outpatients (N=20) and normal controls (N=20) were invited to complete a set of self-assessment questionnaires. These questionnaires measured a wide range of potential risk factors including hopelessness, impulsiveness, reasons for living, insight, drug-attitude and treatment satisfaction.

Results showed that patients have a higher occurrence-rate of suicide ideation (45%) compared to patients without ideation. Ideators were significantly more hopeless, impulsive, more aware of their illness and having fewer survival & coping beliefs.

Taken together, current study extended the stress-diathesis model in explaining suicidal behaviors among psychotic patients. We also demonstrated that insight in patients plays a role in interacting with suicide ideation. Further, since hopelessness appeared to be the strongest associative factor among all, this study has implications on prevention work focusing on hope maintenance. / published_or_final_version / Psychological Medicine / Master / Master of Psychological Medicine

Identiferoai:union.ndltd.org:HKU/oai:hub.hku.hk:10722/192975
Date January 2013
CreatorsTong, Chun-yat, 湯俊逸
PublisherThe University of Hong Kong (Pokfulam, Hong Kong)
Source SetsHong Kong University Theses
LanguageEnglish
Detected LanguageEnglish
TypePG_Thesis
RightsThe author retains all proprietary rights, (such as patent rights) and the right to use in future works., Creative Commons: Attribution 3.0 Hong Kong License
RelationHKU Theses Online (HKUTO)

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