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Stynke Castelein, Edith J. Liemburg*, Jill S. De Lange, Frank D. Van Es, Ellen Visser, André Aleman, Richard Bruggeman, Henderikus Knegtering
Research output: Contribution to journal › Erratum
Objective Over two decades ago a study reported that a percentage as high as 11% of the patients with a psychotic disorder in the northern Netherlands died by committing suicide. The primary objective of the current study was to replicate these findings in the same geographical area. A secondary objective was to investigate potential predictors of suicide. Design Retrospective cohort study. Method From patient files we identified the current status of all patients who experienced their first episode of psychosis and participated in the Psychosis Recent Onset GroningenSurvey (PROGRS) between 2000 and 2009. The PROGRS is a diagnostic protocol for persons with suspected first psychosis. KaplanMeier survival analysis was used to identify the current suicide risk in this group and this was compared with the 19731988 patients using a log rank test. We also determined the standardized mortality rate in relation to the general population. Cox regression analysis was used to assess significant predictors of suicide. Results The suicide risk dropped drastically over the course of two decades from 11% to 2.4%. Older age was the strongest predictor of suicide. The standardized mortality rate was Conclusion Despite the significant decline in suicide after a first episode of psychosis, the risk of suicide should be given the highest priority in psychiatric psychosis care, as it is very high at 4162% compared with the suicide risk in general population. Conflict of interest and financial support: ICMJE forms provided by the authors are available online along with the full text of this article.
Translated title of the contribution | Drop in suicide rate after first psychosis: A comparison with the situation two decades ago |
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Original language | Dutch |
Article number | A9565 |
Journal | Nederlands Tijdschrift voor Geneeskunde |
Volume | 160 |
Issue number | 2 |
Publication status | Published - 2016 |
Research output: Contribution to journal › Article › Academic › peer-review