Trajectories of suicidality and predicting long-term risk in first-episode psychosis

It is firmly established that rates of suicide and extent of suicidality in people diagnosed with psychosis are substantially higher compared with the general population. Equally clear is that these higher rates apply from the first episode diagnosed.1 However, similar to psychosis itself, suicidality is heterogeneous—absent in many people, limited to ideation in some, but involving life-threatening attempts or death in others. Identifying those who are at a high risk of suicide is an obvious clinical priority.