title: Correlation Between Insight Level and Suicidal Behavior/Ideation in Bipolar Depression.
abstract: Suicide is a relatively common outcome along the course of bipolar disorder. Studies have shown a positive correlation between ideation or attempts of suicide and higher insight in schizophrenic patients. Nevertheless there are still few studies that evaluate the relationship between suicide and insight in mood disorders. Evaluate the relationship between insight and suicidal ideation or behavior in bipolar depression. A group of 165 bipolar patients were followed up along 1 year. Each patient's mood was assessed in every consultation according to DSM-IV-TR criteria. Suicidal ideation and behavior were prospectively assessed through item 3 of HAM-D whenever a major depressive episode was diagnosed. Insight was evaluated through the Insight Scale for Affective Disorders. A history of suicidal attempts was associated with worse insight in 60 patients with one episode of bipolar depression. The difference remained even when the supposed effect of depression over insight was controlled. No correlation between current suicidal ideation and insight level was found though. Our results suggest that a history of suicide attempts may correlate with higher impairment of insight in bipolar depression. No relationship was found between current suicidal ideation and insight.
authors.affiliation: Universidade Federal do Estado do Rio de Janeiro (UNIRIO), Rua Largo do Machado, 29/411, Catete, Rio de Janeiro, RJ, Brazil. rafaelpsiq@gmail.com.|Laboratório de transtorno bipolar, Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro (IPUB/UFRJ), Avenida Venceslau Brás, 71, Fundos, Botafogo, Rio de Janeiro, RJ, CEP 22290-140, Brazil. rafaelpsiq@gmail.com.
authors.forename: Rafael
authors.initials: R
authors.lastname: de Assis da Silva
authors.affiliation: Pontifícia Universidade Católica do Rio de Janeiro (PUC-Rio), Rio de Janeiro, RJ, Brazil.|Institute of Psychiatry, King's College London, London, UK.
authors.forename: Daniel C
authors.initials: DC
authors.lastname: Mograbi
authors.affiliation: Laboratório de transtorno bipolar, Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro (IPUB/UFRJ), Avenida Venceslau Brás, 71, Fundos, Botafogo, Rio de Janeiro, RJ, CEP 22290-140, Brazil.
authors.forename: Jaqueline
authors.initials: J
authors.lastname: Bifano
authors.affiliation: Laboratório de transtorno bipolar, Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro (IPUB/UFRJ), Avenida Venceslau Brás, 71, Fundos, Botafogo, Rio de Janeiro, RJ, CEP 22290-140, Brazil.|Pontifícia Universidade Católica do Rio de Janeiro (PUC-Rio), Rio de Janeiro, RJ, Brazil.
authors.forename: Cristina M T
authors.initials: CM
authors.lastname: Santana
authors.affiliation: Laboratório de transtorno bipolar, Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro (IPUB/UFRJ), Avenida Venceslau Brás, 71, Fundos, Botafogo, Rio de Janeiro, RJ, CEP 22290-140, Brazil.|Faculdade de Ciências Médicas da Universidade do Estado Do Rio de Janeiro (FCM/UERJ), Rio de Janeiro, RJ, Brazil.
authors.forename: Elie
authors.initials: E
authors.lastname: Cheniaux
mesh_terms: D000328:Adult; D001714:Bipolar Disorder / Q000523:psychology*; D001938:Brazil; D015331:Cohort Studies; D003863:Depression / Q000523:psychology*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000523:psychology* / Q000706:statistics & numerical data
keywords: Bipolar depression; Insight; Suicide