Suicidality and its association with insight and neurocognition in taiwanese patients with bipolar I disorder in remission.
The aims of this study were to examine the relationships between suicidality, insight, and neurocognition in patients with bipolar I disorder who were in a remitted state. Using the Violence and Suicide Assessment Scale, we evaluated 96 patients with bipolar I disorder in remission to determine their suicidal ideations and attempts over the previous year. We also evaluated their level of insight by using the Schedule of Assessment of Insight (SAI) and its expanded version (SAI-E), as well as their neurocognitive function by a series of neurocognitive function tests. Insight and neurocognitive functions of bipolar subjects who had and who had no suicidal ideations or attempts over the previous year were compared. The results indicated that the remitted bipolar subjects who had suicidal ideations or attempts over the previous year had higher insight scores on all 3 SAI dimensions and on the SAI-E compared with those who had no suicidal ideations or attempts. However, no difference in any neurocognitive function was found between the 2 groups of remitted bipolar subjects. The results of this study suggest clinicians need to be particularly alert to the potential for suicide in bipolar patients with a high level of insight.
Yen
Cheng-Fang
CF
Department of Psychiatry, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Cheng
Chung-Ping
CP
Ko
Chih-Hung
CH
Yen
Ju-Yu
JY
Huang
Chi-Fen
CF
Chen
Cheng-Sheng
CS
D000328:Adult; D000339:Affect; D044466:Asian People / Q000523:psychology*; D001364:Awareness; D001714:Bipolar Disorder / Q000208:ethnology* / Q000523:psychology / Q000628:therapy; D003072:Cognition Disorders / Q000208:ethnology* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests / Q000706:statistics & numerical data; D010349:Patient Compliance / Q000523:psychology; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data; D011594:Psychometrics; D012307:Risk Factors; D013406:Suicide, Attempted / Q000208:ethnology* / Q000517:prevention & control / Q000523:psychology; D013624:Taiwan; D014754:Violence