Akathisia and Suicidal Ideation in First-Episode Schizophrenia

Research output: Contribution to journalLetterContributedpeer-review

Contributors

  • Florian Seemüller - , Ludwig Maximilian University of Munich (Author)
  • Rebecca Schennach - , Ludwig Maximilian University of Munich (Author)
  • Andreas Mayr - , Ludwig Maximilian University of Munich (Author)
  • Richard Musil - , Ludwig Maximilian University of Munich (Author)
  • Markus Jäger - , Ludwig Maximilian University of Munich (Author)
  • Wolfgang Maier - , University of Bonn (Author)
  • Stefan Klingenberg - , University of Tübingen (Author)
  • Isabella Heuser - , Charité – Universitätsmedizin Berlin (Author)
  • Joachim Klosterkötter - , University of Cologne (Author)
  • Markus Gastpar - , University Hospital Essen (Author)
  • Andrea Schmitt - , Central Institute of Mental Health (CIMH), University of Göttingen (Author)
  • Ralf Schlösser - , Friedrich Schiller University Jena (Author)
  • Frank Schneider - , RWTH Aachen University (Author)
  • Christian Ohmann - , Heinrich Heine University Düsseldorf (Author)
  • Ute Lewitzka - , Department of Psychiatry and Psychotherapy (Author)
  • Wolfgang Gaebel - , Heinrich Heine University Düsseldorf (Author)
  • Hans-Jürgen Möller - , Ludwig Maximilian University of Munich (Author)
  • Michael Riedel - , Ludwig Maximilian University of Munich, Vinzenz-von-Paul-Hospital (Author)

Abstract

Patients with first-episode schizophrenia (FES) are known to be notably sensitive for developing extrapyramidal adverse effects, but the relation of akathisia and suicidal ideation has rarely been studied.

The current report is an ongoing analysis of an 8-week double-blind randomized controlled multicenter trial in 289 FES, comparing risperidone and haloperidol. Assessments were conducted weekly and included the Hillside Akathisia Scale and 21-item Hamilton Depression Rating Scale ratings.

Suicidal ideation was significantly associated with clinician observed akathisia, depressed mood, younger age, and use of propranolol. The allocated treatment, anxiety, and nervousness had no influence.

The present findings suggest a promoting effect of akathisia on suicidal ideation can not be ruled out in patients with FES.

Details

Original languageEnglish
Pages (from-to)694-698
JournalJournal of clinical psychopharmacology
Volume32
Issue number5
Publication statusPublished - Oct 2012
Peer-reviewedYes

External IDs

Scopus 84865862570

Keywords

Sustainable Development Goals