Table 1.

Risk of suicide during the first psychosis episode (FEP) phases.

Phase	Incidence/epidemiology	Possible risk factors
Prodromic phase or emerging psychosis	About 90% of the young people meeting criteria for an at-risk mental state report suicidal ideation (91)	Distress caused by unfamiliar emerging pre-psychotic experiences
Untreated psychosis (UP-phase) and duration of untreated psychosis (DUP)	Most of patients report suicidal risk during this phase, and 25% have already attempted suicide before seeing a psychiatrist. Rate of completed suicides during the UP is very high (92)	The average delay in accessing health-care system during this phase is 1 year. Suicidality is higher when DUP is longer
Acute psychosis and its treatment (phase)	11% of suicide attempts in the FEP are associated with hallucinations, fear, shame, stigma, guilt, loss, rejection, and despair (76)	Patient’s hallucinations, fear, shame, stigma, guilt, loss, rejection, and despair
Post-psychotic recovery (phase)	After an acute episode, 15% of the patients experience high suicidality for the following 18 months (93–96)	Even if the symptoms of psychosis may remit in this phase, neurocognitive deficits may have an impact on studying, working, and recreational activities