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112. Trauma history is associated with suicide ideation and non-suicidal self-harm behavior in early psychosis
People experiencing first episode psychosis (FEP) are at increased suicide risk. History of trauma is one common risk factor for suicide, but this has not been examined in FEP. The present study explored whether trauma was associated with suicide ideation, behavior and non-suicidal self-injury behavior (NSSIB) in FEP. Participants were recruited from an Early Psychosis Program (N=196, ages:12-35, 73% male). Clinicians used the C-SSRS to gather suicide history and BPRS to measure symptoms. Trauma history was coded from retrospective clinical chart review, using the PTSD Checklist. Regression analyses examined whether trauma was associated with a history of suicidal ideation, behavior and NSSIB. In the sample (N=196), 28.6% reported a trauma history (7.1% sexual abuse, 11.2% physical abuse, 6.1% emotional abuse); 55.6% reported suicidal ideation, 22.4% reported suicidal behavior and 16.7% reported NSSIB. A history of trauma was associated with suicide ideation (p=0.040) and NSSIB (p=0.019) but not suicide behavior, controlling for depression. Results suggest trauma directly impacts suicide ideation and NSSIB in those with FEP, which is not accounted for by the impact of trauma on mood. Integrating trauma treatment into FEP care could reduce rates of suicide ideation and NSSIB. To reduce suicide attempt occurrence, more research is needed.