Recent life events preceding suicide attempts in a personality disorder sample: findings from the collaborative longitudinal personality disorders study.
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.
Yen
Shirley
S
Department of Psychiatry and Human Behavior, Brown University Medical School, Providence, RI 02906, USA. shirley_yen_phd@brown.edu
Pagano
Maria E
ME
Shea
M Tracie
MT
Grilo
Carlos M
CM
Gunderson
John G
JG
Skodol
Andrew E
AE
McGlashan
Thomas H
TH
Sanislow
Charles A
CA
Bender
Donna S
DS
Zanarini
Mary C
MC
D000328:Adult; D005260:Female; D006801:Humans; D008016:Life Change Events; D008137:Longitudinal Studies; D008297:Male; D009042:Motivation; D010554:Personality Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D011446:Prospective Studies; D012307:Risk Factors; D013223:Statistics as Topic; D013406:Suicide, Attempted / Q000523:psychology* / Q000706:statistics & numerical data