Article

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

ABSTRACT

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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    • "Joiner [25] used suicide notes to provide supportive evidence for the theory. In the past, several events have been frequently found to precede suicidal behaviour, i.e. loss events, disrupted interpersonal relationships, job problems and financial difficulties, and events related to physical health [27]. Whether or not the impact of less negative events should be considered as value-neutral or even as positive, remains inconclusive. "
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    • "It is possible that romantic NLEs are more proximal triggers for suicide attempts, whereas crime/legal NLEs are more distal risk factors. For instance , involvement in a court case (the most common crime/legal NLE reported by Yen et al., 2005) is a NLE that may take relatively more time to unfold and, therefore, may exert its influence over the days, weeks, or months, rather than hours, following the event. Therefore, although crime/legal NLEs may put an individual at risk for attempting suicide, these NLEs may not trigger the attempt. "
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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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