Suicide attempts in bipolar I patients: impact of comorbid personality disorders
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
; 39(2): 133-139, Apr.-June 2017. tab
Article
in En
| LILACS
| ID: biblio-844181
Responsible library:
BR1.1
ABSTRACT
Objective:
To evaluate the association between personality disorders (PDs) and suicide attempts (SAs) in euthymic patients with type I bipolar disorder (BD).Methods:
One-hundred twenty patients with type I BD, with and without history of SA, were evaluated during euthymia. The assessment included a clinical and sociodemographic questionnaire, the Hamilton Depression Rating Scale, the Young Mania Rating Scale, the Barratt Impulsiveness Scale, and Structured Clinical Interviews for DSM-IV Axis I and II Disorders. Logistic regression was employed to determine associations between history of SA and patient characteristics.Results:
History of SA was significantly associated with comorbid axis I disorder, rapid cycling, high impulsivity (attentional, motor, non-planning, and total), having any PD, and cluster B and C PDs. Only cluster B PDs, high attentional impulsivity, and lack of paid occupation remained significant after multivariate analysis.Conclusions:
Cluster B PDs were significantly associated with SA in patients with type I BD. High attentional impulsivity and lack of gainful employment were also associated with SA, which suggests that some cluster B clinical and social characteristics may exacerbate suicidal behavior in this population. This finding offers alternatives for new therapeutic interventions.Key words
Full text:
1
Collection:
01-internacional
Database:
LILACS
Main subject:
Suicide, Attempted
/
Bipolar Disorder
Type of study:
Qualitative_research
Language:
En
Journal:
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
Journal subject:
PSIQUIATRIA
Year:
2017
Document type:
Article
Affiliation country:
Brazil