title: Is history of suicidal behavior related to social support and quality of life in outpatients with bipolar I disorder?
abstract: Bipolar disorder (BD) affects the social functioning and quality of life (QoL) of its patients. This study aimed to investigate whether there is an association between social support (SS), and suicidal behavior in BD I patients compared to healthy controls; secondarily, we evaluated the influence of QoL on those variables. A total of 119 euthymic outpatients with BD I, 46 of whom had attempted suicide (SAs) and 73 who had not (non-SAs), were compared to 63 healthy controls, through the Medical Outcomes Study Social Support Scale and World Health Organization's Quality of Life Instrument. No differences were noted in SS and QoL between SAs and non-SAs. Compared to healthy controls, non-SAs showed lower values in the positive social interaction domain of SS, and the patients, as a whole, showed lower values in affectionate and positive social interaction domains of SS. Compared to healthy controls, SAs had lower values in the environmental domain of QoL, and the patients, as a whole, had lower values in the environmental, social, and psychological domains of QoL. There was positive correlation between SS and QoL. Although BD is a disabling disease, patients receive inadequate SS. Interventions that may alter the SS in these patients should be investigated.
authors.affiliation: Medicine and Health Postgraduate Program, Federal University of Bahia, Salvador, BA, Brazil; Program of Mood and Anxiety Disorders (CETHA), Federal University of Bahia, Salvador, BA, Brazil. Electronic address: paulastudart@hotmail.com.
authors.forename: Paula
authors.initials: P
authors.lastname: Studart
authors.affiliation: Program of Mood and Anxiety Disorders (CETHA), Federal University of Bahia, Salvador, BA, Brazil; Department of Neurosciences and Mental Health, Medical School, Federal University of Bahia, Salvador, BA, Brazil.
authors.forename: Amanda
authors.initials: A
authors.lastname: Galvão-de Almeida
authors.affiliation: Medicine and Health Postgraduate Program, Federal University of Bahia, Salvador, BA, Brazil; Program of Mood and Anxiety Disorders (CETHA), Federal University of Bahia, Salvador, BA, Brazil.
authors.forename: Severino
authors.initials: S
authors.lastname: Bezerra-Filho
authors.affiliation: Medicine and Health Postgraduate Program, Federal University of Bahia, Salvador, BA, Brazil; Program of Mood and Anxiety Disorders (CETHA), Federal University of Bahia, Salvador, BA, Brazil; Bahiana School of Medicine and Public Health, Salvador, BA, Brazil.
authors.forename: André
authors.initials: A
authors.lastname: Caribé
authors.affiliation: Bahiana School of Medicine and Public Health, Salvador, BA, Brazil.
authors.forename: Nayanne
authors.initials: N
authors.lastname: Reis Afonso
authors.affiliation: Medicine and Health Postgraduate Program, Federal University of Bahia, Salvador, BA, Brazil; Bahiana School of Medicine and Public Health, Salvador, BA, Brazil.
authors.forename: Carla
authors.initials: C
authors.lastname: Daltro
authors.affiliation: Medicine and Health Postgraduate Program, Federal University of Bahia, Salvador, BA, Brazil; Program of Mood and Anxiety Disorders (CETHA), Federal University of Bahia, Salvador, BA, Brazil; Department of Neurosciences and Mental Health, Medical School, Federal University of Bahia, Salvador, BA, Brazil.
authors.forename: Ângela
authors.initials: Â
authors.lastname: Miranda-Scippa
mesh_terms: D000328:Adult; D001714:Bipolar Disorder / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D001938:Brazil / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010045:Outpatients / Q000523:psychology*; D011788:Quality of Life / Q000523:psychology*; D012944:Social Support; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000523:psychology*; D011795:Surveys and Questionnaires
keywords: Affective disorder; Bipolar disorder; Quality of life; Social network; Social support; Suicide attempt