Suicide, Self-Harm and Premature Death following First Episode Psychosis

自杀的人往往有心理健康问题。精神障碍（如精神分裂症和双相情感障碍）是严重的精神疾病，思想，感情，情绪和行为受到干扰。这些疾病在人们年轻时发作，每50人中就有1人受到影响。自杀倾向于发生在疾病的早期，但在第一次发病后的真实自杀率或在过去几十年中自杀率的任何变化都没有得到有效的研究。为了这项研究，我想追踪1965-2004年间首次患有精神病的3000名患者，并找出自杀率和其他原因的死亡率。我将调查在过去四十年中是否有任何变化，并研究与个人，他们的社区或卫生服务有关的可能的风险因素。我还将对500名患者进行更密切的随访，在他们首次患病后的10年内，更详细地研究自我伤害。重要的是要知道自我伤害的风险因素是否与自杀相同，以便制定预防自我伤害和自杀的策略。

People who commit suicide have often suffered with mental health problems. Psychotic disorders (such as Schizophrenia and Bipolar Disorder) are severe mental illnesses of disturbed thoughts, feelings, mood and behaviours. These diseases strike when people are young and affect 1 in 50 of the population. Suicides tend to occur early in the course of the illness, but the true rate of suicide after a first episode of illness or any change in rate over the last few decades has not been studied effectively.For this research, I want to trace a group of 3000 patients who suffered their first psychotic illness between 1965-2004 and find out what the suicide rate and death rate from other causes is. I will investigate if there have been any changes in rate over the last four decades and research possible risk factors that relate to individuals, their neighbourhood or health services. I will also follow-up 500 patients more closely, 10 years after they first became ill, to study self-harm in more detail. It will be important to know whether the risk factors for self-harm are the same as for suicide, so that strategies to prevent self-harm and suicide can be developed.