title: Factors associated with suicide attempts in patients with bipolar disorder type I.
abstract: BACKGROUND
  The aim of this study is to identify the risk factors that are associated with suicide attempts in patients with bipolar disorder type I.
  
  
  METHODS
  This cross-sectional study was conducted with inpatients and outpatients with BD type I. Patients who met the study inclusion criteria (n=91) were evaluated in terms of sociodemographic variables, history of childhood trauma, comorbidity of adult attention deficit hyperactivity disorder and posttraumatic stress disorder, and the course of the disease. The patients were divided into two groups: those with a history of suicide attempts and those without a history of suicide attempts. The parameters of the study groups were compared with t and chi-square tests as appropriate. Logistic regression was used to identify the predictors of suicide attempt.
  
  
  RESULTS
  Logistic regression analysis of the study parameters suggested that the number of major depressive episodes (odds ratio: 7.18; 95% confidence interval: 1.84-28) and history of emotional neglect (odds ratio: 1.83; 95% confidence interval: 1.15-2.90) were significant predictors of suicide attempt in patients with BD.
  
  
  CONCLUSIONS
  In BD type I patients with a history of suicide attempts, the number of depressive episodes and emotional neglect, a subtype of childhood traumas, were the most remarkable risk factors. Considering the frequency of depressive episodes during the course of the disease and assessing traumas including those in childhood may help predict future suicide attempts in patients with BD.
authors.affiliation: Department of Psychiatry, Cumhuriyet University Faculty of Medicine, 58140 Sivas, Turkey, drgulizaksoy@yahoo.com.
authors.forename: Derya Guliz
authors.initials: DG
authors.lastname: Mert
authors.forename: Meral
authors.initials: M
authors.lastname: Kelleci
authors.forename: Ali
authors.initials: A
authors.lastname: Mizrak
authors.forename: Murat
authors.initials: M
authors.lastname: Semiz
authors.forename: Meral Oran
authors.initials: MO
authors.lastname: Demir
mesh_terms: D001714:Bipolar Disorder / Q000523:psychology*; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003863:Depression / Q000523:psychology*; D003865:Major Depressive Disorder / Q000523:psychology*; D006801:Humans; D007297:Inpatients; D016015:Logistic Models; D016017:Odds Ratio; D012307:Risk Factors; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology*; D013406:Suicide, Attempted / Q000523:psychology*