Recent Life Events Preceding Suicide Attempts in a Personality Disorder Sample: Findings From the Collaborative Longitudinal Personality Disorders Study.

Department of Psychiatry and Human Behavior, Brown University Medical School, Providence, RI 02906, USA.
Journal of Consulting and Clinical Psychology (Impact Factor: 4.85). 03/2005; 73(1):99-105. DOI: 10.1037/0022-006X.73.1.99
Source: PubMed


Few studies have examined the relationship between life events, suicide attempts, and personality disorders (PDs), in spite of the strong associations between PDs and suicidal behavior, and the poor coping strategies often exhibited by these individuals. The authors examined whether participants with PDs who attempted suicide during the first 3 years of a prospective, longitudinal study were more likely to experience specific life events in the month during and preceding the suicide attempt. Of 489 participants with PDs, 61 attempted suicide during the 3-year, follow-up interval. Results indicated that negative life events, particularly those pertaining to love-marriage or crime-legal matters, were significant predictors of suicide attempts, even after controlling for baseline diagnoses of borderline PD, major depressive disorders, substance use disorders, and a history of childhood sexual abuse. Therefore, certain types of negative life events are unique risk factors for imminent suicide attempts among individuals with PDs.

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    • "Rare studies of SLEs preceding suicide attempts among adults with AUD are limited by long followback periods (i.e., one year) (Conner et al., 2003; Kingree et al., 1999), with unclear relevance to the individuals' circumstances near to the attempt. With few exceptions (Yen et al., 2005), detailed studies of SLEs preceding suicide attempts are not available in other populations. "
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    ABSTRACT: Stressful life events (SLEs) play a key role in suicidal behavior among adults with alcohol use disorders (AUD), yet there are meager data on the severity of SLEs preceding suicidal behavior or the timing of such events. Patients in residential substance use treatment who made a recent suicide attempt (cases, n=101) and non-suicidal controls matched for site (n=101) were recruited. SLEs that occurred within 30 days of the attempt and on the day of the attempt in cases were compared to SLEs that occurred in the corresponding periods in controls. SLEs were categorized by type (interpersonal, non-interpersonal) and severity (major, minor) and were dated to assess timing. Degree of planning of suicide attempts was also assessed. Major interpersonal SLEs conferred risk for a suicide attempt, odds ratio (95% CI)=5.50 (1.73, 17.53), p=0.005. Cases were also more likely to experience an SLE on the day of the attempt than on the corresponding day in controls, OR (95% CI)=6.05 (1.31, 28.02), p=0.021. However, cases that made an attempt on the day of a SLE did not make lower planned suicide attempts compared to other cases, suggesting that suicide attempts that are immediately preceded by SLEs cannot be assumed to be unplanned. Results suggest the central importance of major interpersonal SLEs in risk among adults with AUD, a novel finding, and documents that SLEs may lead to suicide attempts within a short window of time (i.e., same day), a daunting challenge to prevention efforts.
    Drug and alcohol dependence 08/2011; 120(1-3):155-61. DOI:10.1016/j.drugalcdep.2011.07.013 · 3.42 Impact Factor
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    • "In addition, the presence of negative life events (LE) in adolescence or adulthood shows associations with suicide attempts. Associations between suicidality and unemployment, financial problems, and divorce/separation have been reported [12]; suicide attempts were predicted by a summary score of major LE [13], [14]. However, a closer look reveals that the results are not consistent. "
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    ABSTRACT: Background: Major negative life events are associated with higher suicidality. In this association, two mediating paths were hypothesized: (a) via minor negative life events and (b) via depression. Methods: Ninety-six adolescent primary care patients were recruited in clinics, a physician’s office, and school nurses’ offices. Results: (1) Minor negative life events were associated with depressive symptoms and suicidality. (2) Depressive symptoms were associated with suicidality. (3) Depressive symptoms mediated the association of minor negative life events with suicidality. Conclusions: Findings suggest that minor negative life events may be associated with suicidal ideation among adolescent primary care patients, and that depressive symptoms may mediate the association of minor negative life events with suicidality.
    GMS Psycho-Social-Medicine 09/2010; 7:Doc05. DOI:10.3205/psm000067
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    • "Other risk factors for persistent suicidality among adolescent in-and outpatients and community samples include the presence of depression or mood disorders (Brent et al., 1993; Goldston et al., 1999), number of previous attempts (Goldston et al., 1999), poor social adjustment (Pfeffer et al., 1993), low self-esteem (Lewinsohn et al., 1994), substance abuse (Stewart et al., 2001), impaired parental mental health (Chitsabesan et al., 2003), female gender (Gould et al., 2003), family conflict (King et al., 1995), conduct disorder (Sourander et al., 2001) and negative life events (Joiner & Rudd, 2000). Stressful life events (Yen et al., 2005) and Borderline Personality Disorder (BPD) (particularly impulsivity) pose established risk factors for repeat suicidality among adult inpatients (Söderberg, 2001; Soloff et al., 2000; Stalenheim, 2001) and outpatients (Yen et al., 2004). In the pediatric population it has been demonstrated that adolescents with BPD (Bondurant et al., 2004) are at increased risk for suicidal behavior when they have comorbid disorders (e.g., major depressive disorder, substance abuse disorder) or when faced with a major negative life event (Links et al., 2003). "
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    ABSTRACT: To determine the baseline variables, including borderline personality disorder (BPD), associated with the six-month outcome of previously suicidal adolescents (n=263) presenting to an emergency department and treated predominantly as out-patients. Multivariate logistic regression was used to analyze the associations between baseline variables and suicidality at six-month follow-up. BPD, previous suicide attempt(s), drug use and female gender were associated with subsequent suicidality. These findings corroborate previously reported risk factors for recurring suicidality among adolescents and broaden their generalizability to those presenting to an emergency department, many diagnosed with BPD.
    Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent 12/2008; 17(4):197-201.
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