Recent European papers from The Journal of Clinical Psychiatry, 2023

By Pr Philippe Courtet, Montpellier

Monitoring suicide attempters with their smartphone could be useful for detecting the short-term risk of reattempt !

Porras-Segovia A et al. Six-Month Clinical and Ecological Momentary Assessment Follow-Up of Patients at  High Risk of Suicide: A Survival Analysis. J Clin Psychiatry. 2022 Dec 14;84(1):22m14411. doi: 10.4088/JCP.22m14411.


In this innovative study, Alejandro Porras-Segovia and colleagues reported that Ecological momentary assessment (daily smartphones questionnaires that are completed by patients) may help to detect the risk of suicide reattempt during the 2 months following the index suicide attempt.

Depressed mood is an important risk factor of imminent suicide !

Fredriksen et al. Imminent and Short-Term Risk of Death by Suicide in 7,000 Acutely Admitted  Psychiatric Inpatients. J Clin Psychiatry. 2022 Dec 12;84(1):22m14460. doi: 10.4088/JCP.22m14460.


Fredriksen et al used a large prospective cohort of Norwegian psychiatric patients to find that during the first week following admission severely depressed mood, including self-blame and guilt was the only predictor of suicide.

How are dreaming our patients may help to identify prodromal signs of suicide !

Geoffroy et al. Bad Dreams and Nightmares Preceding Suicidal Behaviors. J Clin Psychiatry. 2022 Nov 23;84(1):22m14448. doi: 10.4088/JCP.22m14448.


Geoffroy et al. extensively assessed suicidal patients about their dreams and nightmares. A progression in dream content alterations could predict imminent risk of suicide : bad dreams-nightmares-dreaming of suicide.

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