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
Hauptverfasser: Sánchez‐Gutiérrez, Teresa, Barbeito, Sara, Gómez‐Juncal, Rocío, Rodríguez‐Ortega, Elisa, Becerra‐García, Juan Antonio, Calvo, Ana
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container_end_page 528
container_issue 6
container_start_page 515
container_title Acta psychiatrica Scandinavica
container_volume 146
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
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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 &amp; Sons A/S. 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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. 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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. 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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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