title: Comparative study of hostility in depressive patients with and without a suicide attempt history.
abstract: Hostility in association with depression seems to be connected to suicidal behavior. This study aimed to evaluate hostility and its dimensions in relation to depression in patients who suffered from diagnosed depression with and without a suicide attempt history. The study included 168 participants; 58 patients with depression and suicide attempt history, 55 patients with depression without a suicide attempt history and 55 healthy controls. Hostility was assessed with the Hostility and Direction of Hostility Questionnaire, while depression with the Beck Depression Inventory (BDI). Patients with depression and a suicide attempt history compared with the patients without attempt history presented statistically significantly higher total hostility (28.71 ± 6.43 vs 24.20 ± 7.66), extroverted hostility (17.16 ± 4.37 vs 14.15 ± 4.63), acting out hostility (6.03 ± 2.09 vs 4.73 ± 1.93), and self criticism (6.95 ± 2.12 vs 5.89 ± 2.32). No statistically significant differences were found between the two clinical groups in depression according to the BDI. Moreover depressive patients with suicide attempt history scored higher in all the hostility dimensions than the controls. Therefore, it could be suggested that hostility and especially its extrapunitive dimensions are associated with suicidal behavior, since no differences in depression were recorded between the two clinical groups.
authors.affiliation: a Second Department of Psychiatry, Medical School , "Attikon" University General Hospital, National and Kapodistrian University of Athens , Athens , Greece.
authors.forename: Christos
authors.initials: C
authors.lastname: Christodoulou
authors.affiliation: a Second Department of Psychiatry, Medical School , "Attikon" University General Hospital, National and Kapodistrian University of Athens , Athens , Greece.
authors.forename: Vasiliki
authors.initials: V
authors.lastname: Efstathiou
authors.affiliation: a Second Department of Psychiatry, Medical School , "Attikon" University General Hospital, National and Kapodistrian University of Athens , Athens , Greece.
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Ferentinos
authors.affiliation: a Second Department of Psychiatry, Medical School , "Attikon" University General Hospital, National and Kapodistrian University of Athens , Athens , Greece.
authors.forename: Antonios
authors.initials: A
authors.lastname: Poulios
authors.affiliation: a Second Department of Psychiatry, Medical School , "Attikon" University General Hospital, National and Kapodistrian University of Athens , Athens , Greece.
authors.forename: Athanasia
authors.initials: A
authors.lastname: Papadopoulou
authors.affiliation: a Second Department of Psychiatry, Medical School , "Attikon" University General Hospital, National and Kapodistrian University of Athens , Athens , Greece.
authors.forename: Athanassios
authors.initials: A
authors.lastname: Douzenis
mesh_terms: D000328:Adult; D003863:Depression; D003866:Depressive Disorder; D005260:Female; D006791:Hostility; D006801:Humans; D008297:Male; D011569:Psychiatric Status Rating Scales; D013405:Suicide / Q000706:statistics & numerical data; D013406:Suicide, Attempted / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Suicide attempt; depression; hostility