Hopelessness Predicts Suicide in First-Admission Psychosis “Above and Beyond” History of Suicidality


Researchers in Canada, The United States, and Israel found in a retrospective study of 414 first admissions for psychosis that high baseline score of hopelessness reliably predicted attempted suicide 4 to 6 years later.
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Mad in America hosts blogs by a diverse group of writers. These posts are designed to serve as a public forum for a discussion—broadly speaking—of psychiatry and its treatments. The opinions expressed are the writers’ own.


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Kermit Cole
Kermit Cole, MFT, founding editor of Mad in America, works in Santa Fe, New Mexico as a couples and family therapist. Inspired by Open Dialogue, he works as part of a team and consults with couples and families that have members identified as patients. His work in residential treatment — largely with severely traumatized and/or "psychotic" clients — led to an appreciation of the power and beauty of systemic philosophy and practice, as the alternative to the prevailing focus on individual pathology. A former film-maker, he has undergraduate and master's degrees in psychology from Harvard University, as well as an MFT degree from the Council for Relationships in Philadelphia. He is a doctoral candidate with the Taos Institute and the Free University of Brussels. You can reach him at [email protected].


  1. If the psychiatrists and psychologists actually want to prevent suicides, caused by “hopelessness.” They should stop lying to their clients, and their client’s families, saying their “invalid” DSM disorders or “psychosis,” are “life, long, incurable genetic” illnesses. Since such a lie clearly has, as its motivation, taking hope away from clients, and/or their families.

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