title: The relationship between physical conditions and suicidal behavior among those with mood disorders.
abstract: BACKGROUND
  There has recently been increased interest in the relationship between physical illness, mental illness, and suicide. The present study utilizes a large community-based sample to investigate the association between certain physical conditions and suicidal behavior, among those with a history of a mood disorder.
  
  
  METHODS
  Data came from the nationally representative German Health Survey (N=4181, age 18-65). Physical conditions were assessed by a general practice physician. DSM-IV mental disorders were assessed using a modified version of the Composite International Diagnostic Interview. Among those with a lifetime mood disorders, suicidal ideation, plans, and attempts were assessed by self-report. Multiple logistic regression analyses were used to examine the association between physical conditions and suicidal behavior among those with a history of mood disorder.
  
  
  RESULTS
  Anxiety and substance use disorders were significantly positively associated with suicidal behavior [OR 1.61, 95% CI 1.13-2.31 and 2.01, 95% 1.34-3.00, respectively]. After adjusting for anxiety and substance use disorders as well as sociodemographic variables, respiratory illness, hypertension, and number of physical disorders were significantly associated with suicidal behavior [AORs 1.72, 1.68, and 1.16, respectively].
  
  
  CONCLUSIONS
  The findings of this study are limited to adults with a history of a mood disorder. Personality disorders were not assessed.
  
  
  CONCLUSIONS
  The present study suggests that among people with mood disorder, respiratory illnesses, hypertension, and number of physical conditions are associated with suicidal behavior independent of the effects of comorbid mental illness. Clinicians should recognize the contributing risk of physical health problems to suicidal behavior.
authors.affiliation: Department of Psychiatry, University of Manitoba, Winnipeg, Manitoba, Canada.
authors.forename: Jayda
authors.initials: J
authors.lastname: MacLean
authors.forename: D Jolene
authors.initials: DJ
authors.lastname: Kinley
authors.forename: Frank
authors.initials: F
authors.lastname: Jacobi
authors.forename: James M
authors.initials: JM
authors.lastname: Bolton
authors.forename: Jitender
authors.initials: J
authors.lastname: Sareen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000523:psychology; D005260:Female; D006304:Health Status; D006801:Humans; D006973:Hypertension / Q000523:psychology; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000523:psychology*; D011569:Psychiatric Status Rating Scales; D012044:Regression Analysis; D012120:Respiration Disorders / Q000523:psychology; D019966:Substance-Related Disorders / Q000523:psychology; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000523:psychology* / Q000706:statistics & numerical data; D055815:Young Adult