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Correlates of suicide attempt history in bipolar disorder: a stress‐diathesis perspective
Author(s) -
Grunebaum Michael F,
Ramsay Sarah R,
Galfalvy Hanga C,
Ellis Steven P,
Burke Ainsley K,
Sher Leo,
Printz David J,
Kahn David A,
John Mann J,
Oquendo Maria A
Publication year - 2006
Publication title -
bipolar disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.285
H-Index - 129
eISSN - 1399-5618
pISSN - 1398-5647
DOI - 10.1111/j.1399-5618.2006.00304.x
Subject(s) - bipolar disorder , diathesis , suicidal ideation , suicide attempt , psychiatry , psychology , clinical psychology , mood , logistic regression , bipolar i disorder , major depressive disorder , mood disorders , poison control , suicide prevention , medicine , mania , medical emergency , anxiety , immunology
Objectives: Distinguishing clinical characteristics of bipolar patients who have made a suicide attempt may help to identify at‐risk individuals. We sought to identify such factors and to consider them within a stress‐diathesis model of suicidal behavior. Methods: Patients with bipolar disorder (N = 96) were compared with respect to the presence or absence at baseline evaluation of a history of suicide attempt. We used multiple logistic regression analysis to assess the unique associations of independent variables to history of a past suicide attempt. Results: The regression analysis showed that a history of suicide attempt in bipolar disorder was associated with greater recent suicidal ideation, more psychiatric hospitalizations, lifetime aggressive traits and an earlier age at onset of a first mood episode. Conclusions: Aggressive traits and early treatment of mood disorders, especially major depressive episodes, are potential targets for suicide prevention in bipolar disorder.