SUICIDALITY AND AT RISK MENTAL STATE: about a cohort study.
Poster B74, Tuesday, October%209, 11:30%20am%20-%201:00%20pm, Essex%20Ballroom
Amat Lucy1, Lemey Christophe1, Mesmeur Catherine1, Bleton Laure1, Bazziconi Pierre-François1, Walter Michel1; 1Brest Medical University Hospital (Cavale Blanche center)
Introduction : Few studies focus on the suicidality risk in at risk mental state patients, despite data from the literature reporting a high prevalence of suicidal ideation and behavior in this population. Method : A retrospective cohort study was conducted at the early detection and intervention center (CEVUP) in Brest Medical University Hospital, based on the collection of demographic data and the complete data from the Comprehensive Assessment of At Risk Mental States (CAARMS) of patients received for a thorough assessment of the psychosis risk. Statistical analyzes were conducted by comparing the characteristics of patients with a history of suicidal ideation or attempts with those for whom these histories were not found. Results : 49 patients were included between June 2010 and April 2014. The prevalence of suicidal ideation was 65%, that of suicide attempts of 34.69%. The following items were significantly related to a suicidal risk: the presence of non-bizarre ideas, loss of sense of personal identity, irritability, disorganized, bizarre, stigmatizing behaviors, impaired tolerance to normal stress and several items related to presence of anxious or depressive symptomatology. In addition, 72.41% of patients identified at risk of psychosis by the CAARMS reported suicidal ideation or behavior compared to 56.25% of patients not at risk. Conclusion : Patients at risk for psychosis are a high-risk suicidal population. Some clinical elements can alert the practitioners. Further studies considering insight, stigmatisation and the management strategies to be proposed within this population appear necessary.
Topic Area: Ultra High Risk / Prodromal Research