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Contributors to Suicidal Ideation Among Bipolar Patients With and Without a History of Suicide Attempts
Author(s) -
Allen Michael H.,
Chessick Cheryl A.,
Miklowitz David J.,
Goldberg Joseph F.,
Wisniewski Stephen R.,
Miyahara Sachiko,
Calabrese Joseph R.,
Marangell Lauren,
Bauer Mark S.,
Thomas Marshall R.,
Bowden Charles L.,
Sachs Gary S.
Publication year - 2005
Publication title -
suicide and life‐threatening behavior
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.544
H-Index - 90
eISSN - 1943-278X
pISSN - 0363-0234
DOI - 10.1521/suli.2005.35.6.671
Subject(s) - suicidal ideation , neuroticism , extraversion and introversion , clinical psychology , anxiety , psychosocial , psychiatry , suicide prevention , depression (economics) , personality , poison control , openness to experience , psychology , logistic regression , injury prevention , suicide attempt , big five personality traits , medicine , medical emergency , social psychology , macroeconomics , economics
This study was designed to develop models for vulnerability to suicidal ideation in bipolar patients. Logistic regression models examined correlates of suicidal ideation in patients who had versus had not attempted suicide previously. Of 477 patients assessed, complete data on demographic, illness history, and personality variables were available on 243. The regression models achieved positive predictive values of 55% and 59% for the attempter ( N = 92) and nonattempter groups ( N = 151), respectively. Depression was cross‐sectionally associated with suicidal ideation in both the attempter and nonattempter groups but made a smaller contribution among attempters. Poor psychosocial adaptation and the personality factor “openness” were stronger contributors to suicidal ideation among prior attempters while anxiety and extraversion appeared protective against ideation. Among nonattempters, depression, anxiety, and neuroticism were the predominant influences on suicidal ideation. Bipolar patients with suicidal ideation may benefit from different treatment strategies depending on their prior attempt status.