Insight and suicidality in psychosis: A cross-sectional study

Carmen Massons, Javier David Lopez-Morinigo, Esther Pousa, Ada Ruiz, Susana Ochoa, Judith Usall, Lourdes Nieto, Jesus Cobo, Anthony S. David, Rina Dutta

Research output: Contribution to journalArticleResearchpeer-review

28 Citations (Scopus)


© 2017 Aims We aimed to test whether specific insight dimensions are associated with suicidality in patients with psychotic disorders. Methods 143 patients with schizophrenia spectrum disorders were recruited. Suicidality was assessed by item 8 of the Calgary Depression Scale for Schizophrenia (CDSS). Insight was measured by the Scale of Unawareness of Mental Disorder (SUMD) and the Markova and Berrios Insight Scale. Bivariate analyses and multivariable logistic regression models were conducted. Results Those subjects aware of having a mental illness and its social consequences had higher scores on suicidality than those with poor insight. Awareness of the need for treatment was not linked with suicidality. The Markova and Berrios Insight scale total score and two specific domains (awareness of “disturbed thinking and loss of control over the situation” and “having a vague feeling that something is wrong”) were related to suicidality. However, no insight dimensions survived the multivariable regression model, which found depression and previous suicidal behaviour to predict suicidality. Conclusions Suicidality in psychosis was linked with some insight dimensions: awareness of mental illness and awareness of social consequences, but not compliance. Depression and previous suicidal behaviour mediated the associations with insight; thus, predicting suicidality.
Original languageEnglish
Pages (from-to)147-153
JournalPsychiatry Research
Publication statusPublished - 1 Jun 2017


  • Depression
  • Insight dimensions
  • Schizophrenia
  • Schizophrenia spectrum disorders
  • Suicidal ideation
  • Suicide attempt


Dive into the research topics of 'Insight and suicidality in psychosis: A cross-sectional study'. Together they form a unique fingerprint.

Cite this