title: Family history of suicide and interpersonal functioning in suicide attempters.
abstract: Difficulties in interpersonal relationships are associated with a wide range of psychiatric diagnoses and have been reported as a trigger for suicidal behavior, too. The aim of this study was to examine the relationship between interpersonal problems and family history of suicide in suicide attempters and to describe relevant patterns of interpersonal problems in this patient group. The study involves 181 patients having their clinical follow-up after a suicide attempt. Family history of suicide was assessed by using the Karolinska Self Harm History Interview or retrieved in patient records. The Inventory of Interpersonal Problems was used to assess personal style in an interpersonal context. Suicide attempters with a family history of suicide had significantly more often an intrusive personal style. The results remained significant after adjustment for personality disorder. The specific interpersonal patterns associated with family history of suicide may interfere with the ability to create stable, long-lasting relationships. In regards to treatment, these personal qualities could cause difficulties in the alliance with health care personnel and make it harder for suicide attempters to accept or benefit from treatment. Attention to suicide attempters' interpersonal problems is of importance to lower their distress.
authors.affiliation: Department of Clinical Sciences, Umeå University, Umeå, Sweden. Electronic address: mia.rajalin@sll.se.
authors.forename: Mia
authors.initials: M
authors.lastname: Rajalin
authors.affiliation: Department of Women's and Children's Health, Paediatric Neuropsychiatry Unit, Center of Neurodevelopmental Disorders at Karolinska Institutet (KIND), Karolinska Institutet, Stockholm, Sweden; Habilitation & Health, Stockholm County Council, Stockholm, Sweden.
authors.forename: Tatja
authors.initials: T
authors.lastname: Hirvikoski
authors.affiliation: Department of Clinical Sciences, Umeå University, Umeå, Sweden.
authors.forename: Ellinor
authors.initials: E
authors.lastname: Salander Renberg
authors.affiliation: Department of Clinical Sciences, Danderyd Hospital (KI DS), Stockholm, Sweden.
authors.forename: Marie
authors.initials: M
authors.lastname: Åsberg
authors.affiliation: Department of Clinical Sciences, Umeå University, Umeå, Sweden; Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
authors.forename: Jussi
authors.initials: J
authors.lastname: Jokinen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015331:Cohort Studies; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D010554:Personality Disorders / Q000523:psychology; D012307:Risk Factors; D013405:Suicide / Q000706:statistics & numerical data*; D013406:Suicide, Attempted / Q000523:psychology*; D055815:Young Adult
keywords: Familial transmission of suicidal behavior; Interpersonal functioning suicide attempt; Inventory of Interpersonal Problems; Suicide