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.

Download full-text


Available from: Maria E Pagano
  • Source
    • "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. "
    [Show abstract] [Hide abstract]
    ABSTRACT: This review presents unique information rarely seen in a description of a politically extreme right wing terrorist. During the trial following the terror acts in Norway on July 22 nd 2011, the author, a forensic psychiatrist was at the time engaged by a national Norwegian newspaper to comment on the court proceedings. The author has later thoroughly gone through all available background material such as the terrorist's childhood, relationship to his mother, childhood psychological evaluation, the interviews made by the forensic psychiatrists and information from the police documents. This information is shared in the review. The author also discusses how it was possi-ble for two pairs of court appointed experienced forensic psychiatrists to arrive at completely dif-ferent conclusions. One pair concluded with insanity due to Paranoid Schizophrenia and the sec-ond pair found no signs of psychotic disorder at all and concluded with Narcissistic Personality Disorder. The court found the terrorist capable to stand trial and sentenced him to 21 years in preventive detention with 10 years to be served before the possibility to apply for an appeal.
    Full-text · Article · Oct 2014 · Open Journal of Psychiatry
    • "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. "
    [Show abstract] [Hide abstract]
    ABSTRACT: The extent to which a specific negative life event (NLE) is a triggering factor for a suicide attempt is unknown. The current study used a case-crossover design, an innovative within-subjects design, to quantify the unique effects of recent NLEs on suicide attempts. In an adult sample of 110 recent suicide attempters, a timeline follow-back methodology was used to assess NLEs within the 48 hours prior to the suicide attempt. Results indicated that individuals were at increased odds of attempting suicide soon after experiencing a NLE and that this effect was driven by the presence of an interpersonal NLE, particularly those involving a romantic partner. Moreover, the relation between interpersonal NLEs and suicide attempts was moderated by current suicide planning. Interpersonal NLEs served as triggers for suicide attempts only among patients who were not currently planning their attempt. Findings suggest the importance of considering potential interpersonal NLEs when evaluating imminent risk for suicide attempts. (PsycINFO Database Record (c) 2012 APA, all rights reserved).
    No preview · Article · Oct 2012 · Journal of Abnormal Psychology
  • Source
    • "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. "
    [Show abstract] [Hide abstract]
    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.
    Full-text · Article · Aug 2011 · Drug and alcohol dependence
Show more