title: Personality Traits of Suicidality Are Associated with Premenstrual Syndrome and Premenstrual Dysphoric Disorder in a Suicidal Women Sample.
abstract: OBJECTIVE
  Both Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD) might increase the risk of suicidal behavior. The aim of this study was to assess the relationship between personality dimensions specifically involved in suicidal vulnerability and PMS/PMDD.
  
  
  METHODS
  We collected data from 232 women consecutively hospitalized after a suicide attempt. We examined the relationship between impulsivity, aggressiveness/hostility, hopelessness, trait anger, affect intensity, emotional lability, and PMS/PMDD. Notably, we created an algorithm from the shortened Premenstrual Assessment form in order to assess PMDD status.
  
  
  RESULTS
  The proportions of PMS and PMDD among female suicide attempters were 50% and 23% respectively. Women with PMS or PMDD were more likely to endorse most of these personality traits to than those without even after controlling for potential confounders. We found an impulsive-aggressive pattern of personality in women with PMS or PMDD, independently from the time of the menstrual cycle. Interestingly, trait anger remained associated with both PMS and PMDD independently of every other personality traits. The higher the anger level, the higher the risk was to suffer from both PMS and PMDD.
  
  
  CONCLUSIONS
  This study demonstrates a strong, independent association between PMS/PMDD and trait anger among a representative sample of female suicide attempters. It is of major interest for clinicians in view of addressing a substantial public health problem among women of reproductive age.
authors: Department of Psychiatric Emergency & Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, France.|Inserm U1061, University of Montpellier UM1, Montpellier, France.|Fondamental Foundation, Créteil, France.
authors: Déborah
authors: D
authors: Ducasse
authors: Inserm U1061, University of Montpellier UM1, Montpellier, France.
authors: Isabelle
authors: I
authors: Jaussent
authors: Department of Psychiatric Emergency & Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, France.|Inserm U1061, University of Montpellier UM1, Montpellier, France.|Fondamental Foundation, Créteil, France.
authors: Emilie
authors: E
authors: Olié
authors: Department of Psychiatric Emergency & Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, France.|Inserm U1061, University of Montpellier UM1, Montpellier, France.|Fondamental Foundation, Créteil, France.
authors: Sébastien
authors: S
authors: Guillaume
authors: Department of Psychiatric Emergency & Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, France.|Inserm U1061, University of Montpellier UM1, Montpellier, France.|Fondamental Foundation, Créteil, France.
authors: Jorge
authors: J
authors: Lopez-Castroman
authors: Department of Psychiatric Emergency & Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, France.|Inserm U1061, University of Montpellier UM1, Montpellier, France.|Fondamental Foundation, Créteil, France.
authors: Philippe
authors: P
authors: Courtet
mesh_terms: D000293:Adolescent; D000328:Adult; D000339:Affect; D000465:Algorithms; D000786:Anger; D003430:Cross-Sectional Studies; D059026:Diagnostic Self Evaluation; D004522:Educational Status; D004644:Emotions; D005260:Female; D005602:France; D006791:Hostility; D006801:Humans; D007175:Impulsive Behavior; D008875:Middle Aged; D010551:Personality; D065446:Premenstrual Dysphoric Disorder / Q000453:epidemiology / Q000523:psychology; D011293:Premenstrual Syndrome / Q000453:epidemiology / Q000523:psychology*; D016728:Self-Injurious Behavior / Q000453:epidemiology / Q000523:psychology; D012720:Severity of Illness Index; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000523:psychology*; D011795:Surveys and Questionnaires; D014754:Violence; D055815:Young Adult