PMID- 28803039 OWN - NLM STAT- MEDLINE DCOM- 20180420 LR - 20181202 IS - 1532-8384 (Electronic) IS - 0010-440X (Linking) VI - 78 DP - 2017 Oct TI - Suicidal behaviors and their relationship with psychotic-like symptoms in children and adolescents at clinical high risk for psychosis. PG - 31-37 LID - S0010-440X(17)30184-0 [pii] LID - 10.1016/j.comppsych.2017.07.008 [doi] AB - BACKGROUND: Previous research has demonstrated elevated rates of suicide attempts and ideation in individuals with psychosis. This study investigated rates and severity of suicidal behavior in youth with and at clinical high risk for psychosis, and examined the positive, negative, and disorganized symptoms associated with suicidal behaviors among the clinical high risk group. METHODS: Eighty-six youth ages 7-18 (n=21 non-clinical controls [NCC], n=40 clinical high risk [CHR], n=25 diagnosed psychotic disorder [PD]) were recruited. CHR and PD participants were identified using the Structured Interview for Prodromal Symptoms (SIPS) and Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (KSADS-PL). All participants completed the Suicide Behaviors Questionnaire-Revised (SBQ-R). RESULTS: Findings indicated significantly higher levels of suicidal behavior among CHR and PD relative to NCC participants (F=7.64, p=0.001). 17.5% of CHR participants had previously attempted suicide. Dysphoric Mood and Odd Behavior or Appearance were significantly correlated with suicidal behavior severity among CHR youth. CONCLUSION: Suicidal behavior was observed with greater frequency and severity in the CHR and PD groups than in the NCC group. CHR suicidal behavior severity was correlated most strongly with Dysphoric Mood and Odd Behavior or Appearance, a relationship which warrants further investigation. CI - Copyright (c) 2017 Elsevier Inc. All rights reserved. FAU - D'Angelo, Eugene J AU - D'Angelo EJ AD - Boston Children's Hospital, Department of Psychiatry, 300 Longwood Avenue, Boston, MA 02115, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA. Electronic address: eugene.dangelo@childrens.harvard.edu. FAU - Lincoln, Sarah Hope AU - Lincoln SH AD - Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA; McLean Hospital, Department of Psychiatry, 115 Mill Street, Belmont, MA 02478, USA. Electronic address: slincoln@fas.harvard.edu. FAU - Morelli, Nicholas AU - Morelli N AD - Boston Children's Hospital, Department of Psychiatry, 300 Longwood Avenue, Boston, MA 02115, USA. Electronic address: nicholas.morelli@childrens.harvard.edu. FAU - Graber, Kelsey AU - Graber K AD - Boston Children's Hospital, Department of Psychiatry, 300 Longwood Avenue, Boston, MA 02115, USA. Electronic address: kelsey.graber@childrens.harvard.edu. FAU - Tembulkar, Sahil AU - Tembulkar S AD - Boston Children's Hospital, Department of Psychiatry, 300 Longwood Avenue, Boston, MA 02115, USA. Electronic address: sahil.tembulkar@childrens.harvard.edu. FAU - Gonzalez-Heydrich, Joseph AU - Gonzalez-Heydrich J AD - Boston Children's Hospital, Department of Psychiatry, 300 Longwood Avenue, Boston, MA 02115, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA. Electronic address: joseph.gonzalez-heydrich@childrens.harvard.edu. LA - eng PT - Journal Article DEP - 20170720 PL - United States TA - Compr Psychiatry JT - Comprehensive psychiatry JID - 0372612 SB - IM MH - Adolescent MH - Child MH - Female MH - Humans MH - Male MH - *Prodromal Symptoms MH - Psychotic Disorders/*psychology MH - *Suicidal Ideation MH - Suicide, Attempted/*psychology EDAT- 2017/08/15 06:00 MHDA- 2018/04/21 06:00 CRDT- 2017/08/14 06:00 PHST- 2017/03/15 00:00 [received] PHST- 2017/07/10 00:00 [revised] PHST- 2017/07/14 00:00 [accepted] PHST- 2017/08/15 06:00 [pubmed] PHST- 2018/04/21 06:00 [medline] PHST- 2017/08/14 06:00 [entrez] AID - S0010-440X(17)30184-0 [pii] AID - 10.1016/j.comppsych.2017.07.008 [doi] PST - ppublish SO - Compr Psychiatry. 2017 Oct;78:31-37. doi: 10.1016/j.comppsych.2017.07.008. Epub 2017 Jul 20.