Suicidal behaviour during different phases of bipolar disorder
ABSTRACT There are no previous studies comparing the prevalence and risk factors for suicidal behaviour during different phases of bipolar disorder.
In the Jorvi Bipolar Study (JoBS), 1630 psychiatric in- and outpatients were screened for bipolar disorders with the Mood Disorder Questionnaire. Using SCID I and II interviews, 191 patients were diagnosed with bipolar disorders (90 bipolar I, 101 bipolar II). Suicidal ideation was measured using the Scale for Suicidal Ideation (SSI). Prevalence and risk factors for ideation and attempts during different phases (depressive, mixed, depressive mixed and hypomanic/manic phases) were investigated.
There were marked differences between phases regarding suicide attempts and level of suicidal ideation. Hopelessness predicted suicidal behaviour during the depressive phase, whereas a subjective rating of severity of depression and younger age predicted suicide attempts during mixed phases.
The relatively small sample size in some phases.
Suicidal behaviour varied markedly between different phases of BD. Suicide attempts and suicidal ideation were related to phases which are associated with depressive aspects of the illness. Hopelessness and severity of depression were key indicators of risk in all phases.
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ABSTRACT: Abstract Objectives: To assess the relationship between lifetime suicide attempts (SA), serum lipid values, and metabolic syndrome (MetS) in patients with bipolar disorders (BPD). Methods: Eighty patients with BPD took part in the study (M=40.60 years). After psychiatric diagnosis, demographic data, SA, and serum lipids were measured and MetS was calculated. Results: Seventy percent reported at least one SA. 52.5% suffered from MetS. Suicide attempters had higher cholesterol values. SAs were associated with a family history of suicide, current mood state, and lower educational level. SAs were unrelated to MetS. Conclusions: In patients with BPD, against expectations, the occurrence of SAs was associated with higher cholesterol values. Serum lipid values are not suitable as a biological trait marker to predict SAs.International Journal of Psychiatry in Clinical Practice 11/2014; DOI:10.3109/13651501.2014.988271 · 1.31 Impact Factor
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ABSTRACT: Bipolar disorder is associated with a high risk of suicide attempts and suicide death. The main objective of the present study was to identify and quantify the demographic and clinical correlates of attempted and completed suicide in people with bipolar disorder.Bipolar Disorders 10/2014; 17(1). DOI:10.1111/bdi.12271 · 4.89 Impact Factor