Prevalence of subthreshold forms of psychiatric disorders in persons making suicide attempts in Hungary

Balázs, Judit; Bitter, István; Lecrubier, Y.; Csiszér, Nóra; Ostorharics, G

doi:10.1016/s0924-9338(00)00503-4

Cited by 23 publications

(11 citation statements)

References 51 publications

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“…In a recent study conducted in 140 consecutive attempters in Hungary, Balazs et al found 84% with an Axis one diagnosis and 79% with a subthreshold diagnosis; in only 8% was none present. Co-morbidity between full and/or subthreshold Axis one disorders was 69% [2] This points out that the prevalence of co-morbid psychiatric diagnoses is more frequent than previously described in suicide attempters.…”

supporting

confidence: 45%

The influence of comorbidity on the prevalence of suicidal behaviour

Lecrubier

2001

Eur. psychiatr.

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The existence of mental disorders is almost constant in subjects who try to kill themselves. In addition, a majority of attempters have more than one diagnosis. This is especially true if Axis II or Axis I subthreshold conditions are taken into account. The existence of a disorder largely explains the association between most socioeconomic variables (sex, marriage, education level) and suicidality. Depressive disorders are the major risk factor, a risk probably linked to a current episode just before the attempt. The association to depressive episodes of an anxiety disorder or the existence of impulsive traits (and/or cluster B personality disorder or drug abuse) increases the risk of acting out. Ideation and attempts show parallel onset curves peaking between the ages of 14 and 20 years, with the existence of a previous DSM III R diagnosis as a strong predictor. The number of associated disorders linearly increases the probability of attempting suicide and is the only significant predictor for lethality. A proper treatment of mental disorders could substantially lower suicidality.

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supporting

confidence: 45%

The influence of comorbidity on the prevalence of suicidal behaviour

Lecrubier

2001

Eur. psychiatr.

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“…Comorbidity, mainly anxiety disorders, increases the risk of suicidal behaviour among adolescents (Wunderlich, Bronisch, & Wittchen, 1998). Balázs, Bitter, Lecrubier, Csiszér, and Ostorharics (2000) found that almost two thirds of adult suicide attempters had MDE, half had GAD, one tenth had subthreshold‐depressive episode and one fifth had subthreshold‐GAD. Only a few adolescent studies have focused on subthreshold mental disorders, including subthreshold‐depressive episodes and GAD, as a possible risk factor for suicide.…”

Section: Introductionmentioning

confidence: 99%

Adolescent subthreshold‐depression and anxiety: psychopathology, functional impairment and increased suicide risk

Balázs

Miklósi

Keresztény

et al. 2013

Child Psychology Psychiatry

433

245

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“…The MINI and MINI Plus are used worldwide, there are several nationally standardized versions (Italian, Japanese and Arabic [84][85][86] ). The interview is favoured in establishing diagnoses and comorbidities in affective disorders especially including a separate module of 'suicidal behaviour' [87][88][89][90] . Although this instrument was not primarily designed to elicit information about SB, it does provide detailed and useful data about its past and present occurrence.…”

Section: Assessment Methodsmentioning

confidence: 99%

Profiles of Suicidality and Clusters of Hungarian Adolescent Outpatients Suffering from Suicidal Behaviour

et al. 2009

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Background: The aim of the study was to reveal the background dimensions of suicidal behaviour (SB) and to identify clusters of Hungarian adolescent outpatients suffering from suicidality by means of the following correlates of SB: depression, inadequate conflict-solving methods, dysfunctional attitudes, maladaptive coping, help-seeking strategies and negative life events. Sampling and Methods: A self-report test battery was completed by every consecutive new adolescent outpatient from a representative patient pool of 5 local child psychiatric centres in Western Hungary over an 18-month period (n = 644). The questionnaires used were the pilot version of the Columbia Depression Scale, the Hungarian standard versions of the Beck Depression Inventory, the Ways of Coping Questionnaire, the Dysfunctional Attitude Scale and the Junior High Life Experiences Survey. A total of 110 adolescent outpatients (88 females, 22 males, mean age = 16.21 years, SD = 1.38) suffering from SB were included in the study. All diagnoses including SB were confirmed by the MINI Plus Mini International Neuropsychiatric Interview. K means clustering was used to compare variances of 19 variables to decide which ones are the major criteria for assigning subjects to clusters, and principal component analysis was utilized to identify background SB dimensions in the patient sample. Results: The cluster analysis identified 3 homogenous clusters differentiating suicidal adolescents characteristically: ‘stress-laden/medium depressive’, ‘low depressive/low achievement’ and ‘high depressive’ cluster groups. While cluster analysis confirmed the role of the severity of depression only, principal component analysis explored the following 4 underlying profiles of SB: stress-laden, dysfunctional, maladaptive and depressive/risky factors. Conclusions: Although important coping qualities failed to register as major criteria in the development of separate groups of suicidal adolescent outpatients, distinct background profiles of SB among Hungarian adolescents were found covering the risk groups according to clinical experience. Future research is warranted to identify possible variation in the coping strategies among different adolescent suicidal samples.

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Prevalence of subthreshold forms of psychiatric disorders in persons making suicide attempts in Hungary

Cited by 23 publications

References 51 publications

The influence of comorbidity on the prevalence of suicidal behaviour

The influence of comorbidity on the prevalence of suicidal behaviour

Adolescent subthreshold‐depression and anxiety: psychopathology, functional impairment and increased suicide risk

Profiles of Suicidality and Clusters of Hungarian Adolescent Outpatients Suffering from Suicidal Behaviour

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