Suicidality in the "prodromal" phase of XXXX .

@entity1 @entity286 @entity308 @entity161 @entity716
OBJECTIVES: @entity1 with @entity161 are at high risk for suicide ideation, attempts, and completed suicide. However, suicidal behavior during the prodromal phase of @entity161 and a possible association between prodromal suicidal behavior and suicidality after the onset of overt @entity716 are not studied. METHODS: One hundred six consecutively admitted @entity161 @entity1 with recent onset were evaluated retrospectively for prodromal symptoms and suicidality during the prodromal phase and after the onset of @entity716 . In addition, 106 matched control subjects from the general population were evaluated for suicidality during the same age period of the prodromal phase of the corresponding @entity1 . RESULTS: Suicide ideation and attempt during the prodromal period were reported in 25.5% and 7.5% of the @entity1 , which are 3.8- and 8-fold greater than in the controls, respectively. @entity1 with suicidal behavior experienced a greater number of prodromal symptoms than those without. @entity308 , marked impairment in role functioning, and @entity286 smoking exerted an independent effect on suicide ideation, whereas @entity308 mood was the symptom significantly more frequent in @entity1 with suicide attempt. Suicide attempts were associated with an earlier onset of prodromal symptoms and @entity716 . All @entity1 with prodromal suicide attempts were cigarette smokers. Suicide ideation during the prodromal phase was strongly associated with lifetime suicidality after the onset of @entity716 . CONCLUSIONS: Suicidal behavior is quite common during the prodromal period. The association of smoking, @entity308 mood, impaired functioning, and a large number of prodromal symptoms, particularly in @entity1 with an early onset of symptomatology, carries a substantially increased risk for suicide ideation. Particular care is needed in @entity1 with prodromal suicide ideation after the onset of @entity716 because the risk to attempt suicide is high.
