Miriam Nyawira Wambugu

Division of Psychiatry, UCL
UBEL Pathway: Mental Health and Mental Health Care
Supervisor: Prof Sonia Johnson (UCL) and Dr Alexandra Pitman (UCL)
Contact details: miriam.nyawira.22@ucl.ac.uk
About Me

I have background training in Health research methods following a highly competitive merit-based research fellowship award by the African Academy of Sciences’ Initiative to Develop African Research Leaders. In addition, I have prior training in Nursing, Public Health, Leadership, Development and Mentorship. Before commencing my PhD, I worked extensively in mental health research settings including with the wellcome trust in Kenya examining suicidality outcomes in persons with psychosis. I have authored and co-authored several academic publications including those on the suicidal mind in persons with psychosis and the correlates of suicidality in low-and middle-income countries:

https://doi.org/10.1016/j.comppsych.2023.152382

https://doi.org/10.3389/fpsyt.2022.1085201

https://doi.org/10.1192/bjo.2023.7

http://dx.doi.org/10.1136/bmjopen-2021-056640

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My Research

Suicide is one of the leading causes of death worldwide. In the United Kingdom, suicide cases have been on the rise with suicide attempts ranking among the leading causes of referral to UK mental health services. Early stages of psychotic disorders particularly present the highest risk of suicidality with findings of up to more than half of First Episode Psychosis (FEP) cases initially exhibiting suicidal ideation. Intervening early in these early phases may therefore radically alter patients’ prognoses.

Early Intervention services for Psychosis (EIP) provide care after initial presentation and are therefore a potential context for embedding suicide prevention interventions, but these are not currently a routine part of care. Further, relatively little is known about the risk factors for suicidal ideation and completed suicide in early psychosis. Understanding the burden and risk factors related to suicidal behaviour is crucial in developing holistic and comprehensive suicide prevention strategies and in identifying high-risk groups for whose needs these strategies should be tailored.

The overarching aim of my research is therefore to develop the evidence base for targeted suicide prevention interventions in early psychosis. In doing this, I shall also explore stakeholders’ perceptions on the feasibility and acceptability of embedding suicide prevention interventions within EIP services.

Impact of My Research

Suicides have the potential to have a lasting impact on a family, a service and society at large, serving as a visual representation of resentment, remorse, hopelessness, and despair. With earlier intervention and appropriate care during recovery as suggested in this study, this cycle can be interrupted. This will not only bear significant benefits for people in the early stages of psychosis at risk of suicide but also for healthcare practitioners working within Early Intervention services for Psychosis. Both these groups will be involved at every stage of the design and implementation of the project. Economic evidence has previously supported the impact of reducing suicide rates. Deaths and years of life lost are averted and savings are made in normally foregone earnings. Consequently, the benefits of suicide prevention are multifaceted. In addition to helping create workable, socially acceptable, and effective suicide prevention strategies, this research has the potential to have a significant economic impact both on a national and international scale.