Suicide attempts and psychological risk factors in patients with bipolar and unipolar affective disorder

Abstract Suicide is an important clinical problem in psychiatric patients. The highest risk of suicide attempts is noted in affective disorders. The aim of the study was looking for suicide risk factors among personality dimensions and value system in patients with diagnosis of unipolar and bipolar...

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Published in:General hospital psychiatry 2013-05, Vol.35 (3), p.309-313
Main Authors: Pawlak, Joanna, Ph.D, Dmitrzak-Węglarz, Monika, Ph.D, Skibińska, Maria, Ph.D, Szczepankiewicz, Aleksandra, Ph.D, Leszczyńska-Rodziewicz, Anna, Ph.D, Rajewska-Rager, Aleksandra, Ph.D, Maciukiewicz, Małgorzata, Czerski, Piotr, Ph.D, Hauser, Joanna, M.D., Ph.D
Format: Article
Language:English
Subjects:
Adolescent
Adult
Adult and adolescent clinical studies
Affective disorder
Aged
Aged, 80 and over
Anxiety disorders. Neuroses
Biological and medical sciences
Bipolar Disorder - psychology
Case-Control Studies
Depressive Disorder - psychology
Female
Humans
Male
Medical sciences
Middle Aged
Personality
Personality Inventory
Post-traumatic stress disorder
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Risk Factors
Suicide
Suicide, Attempted - psychology
Temperament
Young Adult
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Summary:Abstract Suicide is an important clinical problem in psychiatric patients. The highest risk of suicide attempts is noted in affective disorders. The aim of the study was looking for suicide risk factors among personality dimensions and value system in patients with diagnosis of unipolar and bipolar affective disorder ( n = 189 patients, n = 101 controls). To establish the diagnosis, we used SCID (Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition ) questionnaire, TCI (Temperament and Character Inventory) questionnaire and Value Survey — to assess the personality. The main limitations of the study are number of participants, lack of data about stressful life events and treatment with lithium. Novelty seeking and harm avoidance dimensions constituted suicide attempt risk factors in the group of patients with affective disorders. Protective role of cooperativeness was discovered. Patients with and without suicide attempt in lifetime history varied in self-esteem position in Value Survey.
ISSN:0163-8343
1873-7714
DOI:10.1016/j.genhosppsych.2012.11.010