PMID- 29164828 OWN - NLM STAT- MEDLINE DCOM- 20191127 LR - 20191127 IS - 1751-7893 (Electronic) IS - 1751-7885 (Linking) VI - 13 IP - 3 DP - 2019 Jun TI - Attenuated psychosis and basic self-disturbance as risk factors for depression and suicidal ideation/behaviour in community-dwelling adolescents. PG - 532-538 LID - 10.1111/eip.12516 [doi] AB - BACKGROUND AND AIMS: Adolescents at clinical high risk (CHR) for psychosis, as defined by the presence of attenuated psychosis symptoms (APS), exhibit increased levels of suicidal ideation and behaviour. However, no research thus far has examined the link between basic self-disturbances (SDs), an established marker for CHR, and suicidality/self-harm in this population. The goal of this pilot study was to assess the association between SD, depression and suicidal ideation and behaviour among non-help-seeking adolescents from the community. METHOD: A total of 100 community-dwelling adolescents (age range: 13-16) were assessed using the Examination of Anomalous Self-experience, Prodromal Questionnaire, Structured Interview for Prodromal Syndromes, Mood and Anxiety Symptom Questionnaire and the Schedule for Affective Disorders and Schizophrenia for School-Age Children (K-SADS). The K-SADS was used to derive a binary diagnosis of unipolar depression, as well as to measure suicidal ideation and behaviour and self-harm. RESULTS: In a multiple regression analysis, SD accounted for variance in depressive symptoms and suicidality/self-harm over and above that accounted for by APS. Moreover, SD accounted for variance in suicidality/self-harm over and above that accounted for by depression symptoms. CONCLUSIONS: These pilot results suggest that SD might be a unique dimension of vulnerability to depression and suicidality/self-harm in adolescence. Also, they encourage assessment of SD as part of a suicide risk assessment, particularly in the context of risk for subsequent psychosis. CI - (c) 2017 John Wiley & Sons Australia, Ltd. FAU - Koren, Dan AU - Koren D AUID- ORCID: 0000-0003-0238-766X AD - Department of Psychology, University of Haifa, Haifa, Israel. AD - Psychiatry Division, Rambam Medical Center, Haifa, Israel. FAU - Rothschild-Yakar, Lily AU - Rothschild-Yakar L AD - Department of Psychology, University of Haifa, Haifa, Israel. FAU - Lacoua, Liza AU - Lacoua L AD - Department of Psychology, University of Haifa, Haifa, Israel. FAU - Brunstein-Klomek, Anat AU - Brunstein-Klomek A AD - School of Psychology, Herzliya Interdisciplinary Center (IDC), Herzliya, Israel. FAU - Zelezniak, Aya AU - Zelezniak A AD - Department of Psychology, University of Haifa, Haifa, Israel. FAU - Parnas, Josef AU - Parnas J AD - Psychiatric Center, Glostrup-Hvidovre, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark. AD - Center for Subjectivity Research, Faculty of Humanities, University of Copenhagen, Copenhagen, Denmark. FAU - Shahar, Golan AU - Shahar G AD - Department of Psychology, Ben-Gurion University, Beer-Sheba, Israel. LA - eng GR - University of Haifa/International GR - Israel Science Foundation/International PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20171122 PL - Australia TA - Early Interv Psychiatry JT - Early intervention in psychiatry JID - 101320027 SB - IM MH - Adolescent MH - Depressive Disorder/*diagnosis/psychology MH - Depressive Disorder, Major/diagnosis/psychology MH - *Ego MH - Female MH - Humans MH - Independent Living/psychology MH - Male MH - Pilot Projects MH - Prodromal Symptoms MH - Psychotic Disorders/*diagnosis/psychology MH - Risk Factors MH - Self-Injurious Behavior/diagnosis/psychology MH - *Suicidal Ideation MH - Suicide, Attempted/*psychology MH - Surveys and Questionnaires OTO - NOTNLM OT - clinical high risk OT - depression OT - psychosis OT - self-disturbance OT - suicide EDAT- 2017/11/23 06:00 MHDA- 2019/11/28 06:00 CRDT- 2017/11/23 06:00 PHST- 2017/07/10 00:00 [received] PHST- 2017/09/01 00:00 [revised] PHST- 2017/09/30 00:00 [accepted] PHST- 2017/11/23 06:00 [pubmed] PHST- 2019/11/28 06:00 [medline] PHST- 2017/11/23 06:00 [entrez] AID - 10.1111/eip.12516 [doi] PST - ppublish SO - Early Interv Psychiatry. 2019 Jun;13(3):532-538. doi: 10.1111/eip.12516. Epub 2017 Nov 22.