Suicide attempts and psychological risk factors in patients with bipolar and unipolar affective disorder.
Suicide is an important clinical problem in psychiatric patients. The highest risk of suicide attempts is noted in affective disorders. The aim of the study was looking for suicide risk factors among personality dimensions and value system in patients with diagnosis of unipolar and bipolar affective disorder (n=189 patients, n=101 controls). To establish the diagnosis, we used SCID (Structured clinical interview for diagnostic and statistical manual of mental disorders, fourth edition) questionnaire, TCI (Temperament and Character Inventory) questionnaire and Value Survey--to assess the personality. The main limitations of the study are number of participants, lack of data about stressful life events and treatment with lithium. Novelty seeking and harm avoidance dimensions constituted suicide attempt risk factors in the group of patients with affective disorders. Protective role of cooperativeness was discovered. Patients with and without suicide attempt in lifetime history varied in self-esteem position in Value Survey.
Department of Psychiatry, Laboratory of Psychiatric Genetics, Poznan University of Medical Sciences, Poland. joanna.pawlak@gmail.com
Joanna
J
Pawlak
Monika
M
Dmitrzak-Węglarz
Maria
M
Skibińska
Aleksandra
A
Szczepankiewicz
Anna
A
Leszczyńska-Rodziewicz
Aleksandra
A
Rajewska-Rager
Małgorzata
M
Maciukiewicz
Piotr
P
Czerski
Joanna
J
Hauser
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001714:Bipolar Disorder / Q000523:psychology*; D016022:Case-Control Studies; D003866:Depressive Disorder / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010551:Personality; D010555:Personality Inventory; D012307:Risk Factors; D013406:Suicide, Attempted / Q000523:psychology*; D013694:Temperament; D055815:Young Adult