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The prevalence and correlates of suicidal ideation and attempts in clinical high risk for psychosis (CHR\u2010P) have yet to be clarified. This study reports on the prevalence and clinical correlates of suicidal ideation and attempts in a clinical CHR\u2010P sample.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Participants (<jats:italic>n<\/jats:italic>\u2009=\u2009135) included CHR\u2010P clients at a CHR\u2010P community specialty clinic, who participated in a clinical assessment between 2017 and 2022. Assessments measured attenuated psychosis symptoms, suicidal ideation and attempts, clinical covariates, and functioning. Frequency analyses assessed the prevalence of lifetime suicidal ideation and attempts and <jats:italic>t<\/jats:italic>\u2010test and Chi\u2010square identified clinical correlates. Logistic regression assessed the relationship between significant clinical correlates and lifetime suicide attempts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty\u2010five percent of participants at CHR\u2010P endorsed lifetime suicidal ideation, while 22.2% reported at least one lifetime attempt. Correlates for lifetime suicidal ideation included self\u2010reported gender expansive identity, hopelessness, depression, trauma, obsessive compulsive symptoms, insight: reflectiveness, trauma diagnoses, mood disorder diagnoses, and perceptual abnormalities\/hallucinations. Significant correlates for lifetime suicide attempts included self\u2010reported hopelessness, depression, trauma diagnosis and mood disorder diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>CHR\u2010P clients are at a higher risk for suicidal ideation and attempts compared to the general population. Correlates of suicidal ideation and attempts may be diagnostically heterogeneous and therefore interventions should be tailored to specific clinical needs. Clients with trauma\u2010disorder diagnoses may be at highest risk for suicidal ideation and attempts. Continued intervention and longitudinal research is needed to clarify causal risk factors and establish evidence\u2010based treatments for suicidal ideation and attempts in CHR\u2010P.<\/jats:p><\/jats:sec>","DOI":"10.1111\/eip.13633","type":"journal-article","created":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T04:08:09Z","timestamp":1733803689000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Prevalence and Clinical Correlates of Suicidal Ideation and Attempts in Individuals at Clinical High Risk for Psychosis"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-0974-7924","authenticated-orcid":false,"given":"Julia","family":"Pfluger","sequence":"first","affiliation":[{"name":"Psychosis Research Program Beth Israel Deaconess Medical Center  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James B.","family":"Green","sequence":"additional","affiliation":[{"name":"Psychosis Research Program Beth Israel Deaconess Medical Center  Boston Massachusetts USA"},{"name":"Harvard Medical School Department of Psychiatry  Boston Massachusetts USA"},{"name":"CEDAR Clinic\/Brookline Center for Community Mental Health  Brookline Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenhui","family":"Qi","sequence":"additional","affiliation":[{"name":"Northeastern University  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Goods","sequence":"additional","affiliation":[{"name":"Psychosis Research Program Beth Israel Deaconess Medical Center  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joey","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Psychosis Research Program Beth Israel Deaconess Medical Center  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1080-8452","authenticated-orcid":false,"given":"Michelle L.","family":"West","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Colorado School of Medicine  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matcheri","family":"Keshavan","sequence":"additional","affiliation":[{"name":"Psychosis Research Program Beth Israel Deaconess Medical Center  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Friedman\u2010Yakoobian","sequence":"additional","affiliation":[{"name":"Psychosis Research Program Beth Israel Deaconess Medical Center  Boston Massachusetts USA"},{"name":"Harvard Medical School Department of Psychiatry  Boston Massachusetts USA"},{"name":"CEDAR Clinic\/Brookline Center for Community Mental Health  Brookline Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,9]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2017.03.043"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/sah0000417"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/13811118.2017.1387207"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2021.06.037"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2021.114272"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2010.07.018"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0920\u20109964(03)00189\u20100"},{"key":"e_1_2_9_10_1","volume-title":"Manual for the Beck Depression Inventory\u2010II","author":"Beck A. 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