THE RELATIONSHIP BETWEEN METACOGNITION AND SUICIDAL RISK IN FIRST-EPISODE SCHIZOPHRENIA
Abstract
This article explores the relationship between metacognitive functioning and suicidal risk in individuals experiencing a first episode of psychosis associated with schizophrenia. Metacognition, defined as the ability to reflect upon and understand one’s own mental states and those of others, plays a crucial role in emotional regulation, decision-making, and adaptive behavior. In early-stage schizophrenia, impairments in metacognitive processes are frequently observed and may contribute to increased vulnerability to suicidal ideation and behavior. The study aims to analyze how deficits in self-reflectivity, understanding of others’ mental states, and mastery of cognitive processes influence suicidal risk during the first psychotic episode. Special attention is given to the interaction between clinical symptoms, such as hallucinations and delusions, and metacognitive dysfunctions. The findings suggest that lower levels of metacognitive capacity are significantly associated with higher suicidal risk, as individuals struggle to interpret their experiences and regulate distress effectively. Understanding this relationship has important clinical implications. Early assessment of metacognitive abilities may help identify high-risk individuals and guide targeted psychotherapeutic interventions. Enhancing metacognitive skills could serve as a protective factor, reducing suicidal tendencies and improving overall prognosis in patients with first-episode schizophrenia.
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