Neuropsychological functioning and suicidal behaviours in patients with first‐episode psychosis: A systematic review
Introduction Suicidal behaviour is particularly frequent in patients with psychosis. Therefore, prevention is a key objective of mental health policies. The aim of the current work is to systematically review the association between neurocognitive functioning and suicidal behaviour in patients with...
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Veröffentlicht in: | Acta psychiatrica Scandinavica 2022-12, Vol.146 (6), p.515-528 |
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creator | Sánchez‐Gutiérrez, Teresa Barbeito, Sara Gómez‐Juncal, Rocío Rodríguez‐Ortega, Elisa Becerra‐García, Juan Antonio Calvo, Ana |
description | Introduction
Suicidal behaviour is particularly frequent in patients with psychosis. Therefore, prevention is a key objective of mental health policies. The aim of the current work is to systematically review the association between neurocognitive functioning and suicidal behaviour in patients with first‐episode psychosis (FEP).
Material and Methods
Of the 3051 studies reviewed, only 7 met the inclusion criteria. Documents in English from their earliest date of coverage until January 2022 were searched for in the following databases: PubMed, Science Direct, Web of Science, Cochrane Library, PsycINFO (ProQuest), and Springerlink. We used the PICO strategy to collect and categorize the data from each selected manuscript.
Results
Overall, the results showed that the risk of suicidal behaviour is higher for FEP patients in the presence of a number of factors: poorer general neuropsychological functioning (except for working memory), poorer social cognition, more depressive symptoms, longer duration of untreated psychosis, higher awareness of the illness, poorer premorbid adjustment, and more frequent cannabis use.
Discussion
Comprehensive general neuropsychology and assessment of social cognition, together with routine clinical record keeping, may help to identify FEP patients at a greater risk of attempting suicide. |
doi_str_mv | 10.1111/acps.13501 |
format | Article |
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Suicidal behaviour is particularly frequent in patients with psychosis. Therefore, prevention is a key objective of mental health policies. The aim of the current work is to systematically review the association between neurocognitive functioning and suicidal behaviour in patients with first‐episode psychosis (FEP).
Material and Methods
Of the 3051 studies reviewed, only 7 met the inclusion criteria. Documents in English from their earliest date of coverage until January 2022 were searched for in the following databases: PubMed, Science Direct, Web of Science, Cochrane Library, PsycINFO (ProQuest), and Springerlink. We used the PICO strategy to collect and categorize the data from each selected manuscript.
Results
Overall, the results showed that the risk of suicidal behaviour is higher for FEP patients in the presence of a number of factors: poorer general neuropsychological functioning (except for working memory), poorer social cognition, more depressive symptoms, longer duration of untreated psychosis, higher awareness of the illness, poorer premorbid adjustment, and more frequent cannabis use.
Discussion
Comprehensive general neuropsychology and assessment of social cognition, together with routine clinical record keeping, may help to identify FEP patients at a greater risk of attempting suicide.</description><identifier>ISSN: 0001-690X</identifier><identifier>EISSN: 1600-0447</identifier><identifier>DOI: 10.1111/acps.13501</identifier><identifier>PMID: 36153777</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Cannabis ; Cognition ; first‐episode psychosis ; Humans ; Neuropsychology ; Patients ; Psychosis ; Psychotic Disorders - psychology ; Short term memory ; social cognition ; Social interactions ; Suicidal behavior ; Suicidal Ideation ; Suicide ; suicide attempts ; Suicide, Attempted - psychology ; Systematic review</subject><ispartof>Acta psychiatrica Scandinavica, 2022-12, Vol.146 (6), p.515-528</ispartof><rights>2022 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</rights><rights>2022 Wiley & Sons A/S</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2871-1dce80f7008cbe3f551235e4fed0943ce2339bfb49725eb6b097b91ad35c1c4b3</citedby><cites>FETCH-LOGICAL-c2871-1dce80f7008cbe3f551235e4fed0943ce2339bfb49725eb6b097b91ad35c1c4b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Facps.13501$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Facps.13501$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36153777$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sánchez‐Gutiérrez, Teresa</creatorcontrib><creatorcontrib>Barbeito, Sara</creatorcontrib><creatorcontrib>Gómez‐Juncal, Rocío</creatorcontrib><creatorcontrib>Rodríguez‐Ortega, Elisa</creatorcontrib><creatorcontrib>Becerra‐García, Juan Antonio</creatorcontrib><creatorcontrib>Calvo, Ana</creatorcontrib><title>Neuropsychological functioning and suicidal behaviours in patients with first‐episode psychosis: A systematic review</title><title>Acta psychiatrica Scandinavica</title><addtitle>Acta Psychiatr Scand</addtitle><description>Introduction
Suicidal behaviour is particularly frequent in patients with psychosis. Therefore, prevention is a key objective of mental health policies. The aim of the current work is to systematically review the association between neurocognitive functioning and suicidal behaviour in patients with first‐episode psychosis (FEP).
Material and Methods
Of the 3051 studies reviewed, only 7 met the inclusion criteria. Documents in English from their earliest date of coverage until January 2022 were searched for in the following databases: PubMed, Science Direct, Web of Science, Cochrane Library, PsycINFO (ProQuest), and Springerlink. We used the PICO strategy to collect and categorize the data from each selected manuscript.
Results
Overall, the results showed that the risk of suicidal behaviour is higher for FEP patients in the presence of a number of factors: poorer general neuropsychological functioning (except for working memory), poorer social cognition, more depressive symptoms, longer duration of untreated psychosis, higher awareness of the illness, poorer premorbid adjustment, and more frequent cannabis use.
Discussion
Comprehensive general neuropsychology and assessment of social cognition, together with routine clinical record keeping, may help to identify FEP patients at a greater risk of attempting suicide.</description><subject>Cannabis</subject><subject>Cognition</subject><subject>first‐episode psychosis</subject><subject>Humans</subject><subject>Neuropsychology</subject><subject>Patients</subject><subject>Psychosis</subject><subject>Psychotic Disorders - psychology</subject><subject>Short term memory</subject><subject>social cognition</subject><subject>Social interactions</subject><subject>Suicidal behavior</subject><subject>Suicidal Ideation</subject><subject>Suicide</subject><subject>suicide attempts</subject><subject>Suicide, Attempted - psychology</subject><subject>Systematic review</subject><issn>0001-690X</issn><issn>1600-0447</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90d-K1DAUBvAgijuu3vgAEvBGhK4nTdJMvRsG_8GiggrelSQ93cnSaWpOO8Pc-Qg-o09i1q5eeGFuQsiPj-R8jD0WcCHyemH9SBdCahB32EpUAAUoZe6yFQCIoqrh6xl7QHSdj1rA-j47k5XQ0hizYof3OKc40snvYh-vgrc97-bBTyEOYbjidmg5zcGHNl843NlDiHMiHgY-2ingMBE_hmnHu5Bo-vn9B46BYot8iaRAL_mG04km3GfvecJDwONDdq-zPeGj2_2cfXn96vP2bXH54c277eay8OXaiEK0HtfQGYC1dyg7rUUpNaoOW6iV9FhKWbvOqdqUGl3loDauFraV2guvnDxnz5bcMcVvM9LU7AN57Hs7YJypKY0wVa1Blpk-_Yde558O-XVZSaXyHIXK6vmifIpECbtmTGFv06kR0Ny00dy00fxuI-Mnt5Gz22P7l_4ZfwZiAcfQ4-k_Uc1m-_HTEvoL4I-YFA</recordid><startdate>202212</startdate><enddate>202212</enddate><creator>Sánchez‐Gutiérrez, Teresa</creator><creator>Barbeito, Sara</creator><creator>Gómez‐Juncal, Rocío</creator><creator>Rodríguez‐Ortega, Elisa</creator><creator>Becerra‐García, Juan Antonio</creator><creator>Calvo, Ana</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>202212</creationdate><title>Neuropsychological functioning and suicidal behaviours in patients with first‐episode psychosis: A systematic review</title><author>Sánchez‐Gutiérrez, Teresa ; Barbeito, Sara ; Gómez‐Juncal, Rocío ; Rodríguez‐Ortega, Elisa ; Becerra‐García, Juan Antonio ; Calvo, Ana</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2871-1dce80f7008cbe3f551235e4fed0943ce2339bfb49725eb6b097b91ad35c1c4b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Cannabis</topic><topic>Cognition</topic><topic>first‐episode psychosis</topic><topic>Humans</topic><topic>Neuropsychology</topic><topic>Patients</topic><topic>Psychosis</topic><topic>Psychotic Disorders - psychology</topic><topic>Short term memory</topic><topic>social cognition</topic><topic>Social interactions</topic><topic>Suicidal behavior</topic><topic>Suicidal Ideation</topic><topic>Suicide</topic><topic>suicide attempts</topic><topic>Suicide, Attempted - psychology</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sánchez‐Gutiérrez, Teresa</creatorcontrib><creatorcontrib>Barbeito, Sara</creatorcontrib><creatorcontrib>Gómez‐Juncal, Rocío</creatorcontrib><creatorcontrib>Rodríguez‐Ortega, Elisa</creatorcontrib><creatorcontrib>Becerra‐García, Juan Antonio</creatorcontrib><creatorcontrib>Calvo, Ana</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Acta psychiatrica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sánchez‐Gutiérrez, Teresa</au><au>Barbeito, Sara</au><au>Gómez‐Juncal, Rocío</au><au>Rodríguez‐Ortega, Elisa</au><au>Becerra‐García, Juan Antonio</au><au>Calvo, Ana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neuropsychological functioning and suicidal behaviours in patients with first‐episode psychosis: A systematic review</atitle><jtitle>Acta psychiatrica Scandinavica</jtitle><addtitle>Acta Psychiatr Scand</addtitle><date>2022-12</date><risdate>2022</risdate><volume>146</volume><issue>6</issue><spage>515</spage><epage>528</epage><pages>515-528</pages><issn>0001-690X</issn><eissn>1600-0447</eissn><abstract>Introduction
Suicidal behaviour is particularly frequent in patients with psychosis. Therefore, prevention is a key objective of mental health policies. The aim of the current work is to systematically review the association between neurocognitive functioning and suicidal behaviour in patients with first‐episode psychosis (FEP).
Material and Methods
Of the 3051 studies reviewed, only 7 met the inclusion criteria. Documents in English from their earliest date of coverage until January 2022 were searched for in the following databases: PubMed, Science Direct, Web of Science, Cochrane Library, PsycINFO (ProQuest), and Springerlink. We used the PICO strategy to collect and categorize the data from each selected manuscript.
Results
Overall, the results showed that the risk of suicidal behaviour is higher for FEP patients in the presence of a number of factors: poorer general neuropsychological functioning (except for working memory), poorer social cognition, more depressive symptoms, longer duration of untreated psychosis, higher awareness of the illness, poorer premorbid adjustment, and more frequent cannabis use.
Discussion
Comprehensive general neuropsychology and assessment of social cognition, together with routine clinical record keeping, may help to identify FEP patients at a greater risk of attempting suicide.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>36153777</pmid><doi>10.1111/acps.13501</doi><tpages>14</tpages></addata></record> |
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source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
subjects | Cannabis Cognition first‐episode psychosis Humans Neuropsychology Patients Psychosis Psychotic Disorders - psychology Short term memory social cognition Social interactions Suicidal behavior Suicidal Ideation Suicide suicide attempts Suicide, Attempted - psychology Systematic review |
title | Neuropsychological functioning and suicidal behaviours in patients with first‐episode psychosis: A systematic review |
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