Conclusions and Implications for Clinical Practice
Individuals with FEP are at high risk for self-harm and suicide. Early recognition of risk factors for suicidal behavior may guide more precise clinical recognition of, and intervention for, those at highest risk. As risk for DSH is most elevated during the first several months following diagnosis, efforts to quickly connect youth with early intervention services may be an important strategy to address risk. Importantly, our study demonstrates that though adolescents and young adults with FEP have shared risk factors for DSH and suicide, these developmental groups also have unique risk factors that provide preliminary clinical guidance for understanding and managing risk among youth presenting with FEP. Thus, in addition to replicating previous findings with regard to factors related to risk for DSH, our findings extend previous work by providing additional guidance on who and when individuals with FEP are at highest risk for DSH.
This project was supported by funding from the National Institute of Mental Health (R01MH117594) to C.A.F & J.A.B., by Grant KL2TR002734 from the National Center For Advancing Translational Sciences (to A.M.M.), and in part by institutional support from the Center for Clinical and Translational Science (NCATS UL1TR002733). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Center for Advancing Translational Sciences or the National Institutes of Health.
The authors have declared that there are no conflicts of interest in relation to the subject of this study.
Schizophr Bull. 2022;48(2):414-424. © 2022 Oxford University Press