Prospective study of risk factors for attempted suicide among patients with bipolar disorder

Valtonen, Hannu; Suominen, Kirsi; Mantere, Outi; Leppämäki, Sami; Arvilommi, Petri; Isometsä, Erkki

doi:10.1111/j.1399-5618.2006.00341.x

Cited by 112 publications

(141 citation statements)

References 26 publications

(50 reference statements)

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“…Other studies did not find a relationship between rapid cycling and suicide attempts, 33,57 although rapid cycling was associated with other risk factors for suicidal behavior, such as early age of onset, more depressive episodes, and family history of bipolar disorder. 6) Comorbidity with Axis I and Axis II disorders Comorbidity is common among patients with bipolar disorder.…”

Section: ) Rapid Cyclingmentioning

confidence: 92%

“…32 Valtonen et al also showed that suicidal ideation was a predictor of suicide attempts in univariate analyses of a bipolar sample, but in a multivariate analysis, suicidal ideation was no longer a predictor of suicide attempts. 33 Galfavy et al demonstrated a strong correlation between higher levels of suicidal ideation and future attempts in bipolar samples. 34 Marangell et al, in a sample of 1,556 individuals with bipolar I and bipolar II, also showed that previous attempters reported more suicidal ideation at baseline and an increased risk for suicide attempts during follow-up.…”

Section: Stress-diathesis Modelmentioning

confidence: 99%

“…mild suicidality) having all patients suicide ideation according to SADS. On the other hand, other studies have failed to demonstrate the association of suicide attempts and anxiety disorders 32,33,38 and some have reported a protective effect of anxiety. 19,70 There have been reports of an association between suicidal behavior and alcohol and drug abuse in the context of bipolar disorder, but this has not been consistently replicated.…”

Section: ) Rapid Cyclingmentioning

confidence: 99%

“…34 Valtonen et al found that previous suicide attempt was an independent risk factor for future suicide attempts. 33 2) Sex In the general population, women have higher rates of suicide attempts and men have higher rates of completed suicide. 47 In BD, the pattern of suicidal behavior shows similarities and differences from that seen in the general population.…”

Section: Suicide Attempts and Bipolar Disordermentioning

confidence: 99%

See 3 more Smart Citations

Suicidal ideation and suicide attempts in bipolar disorder type I: an update for the clinician

Abreu

Lafer

Baca‐García

et al. 2009

Rev. Bras. Psiquiatr.

100

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Section: ) Rapid Cyclingmentioning

confidence: 92%

Section: Stress-diathesis Modelmentioning

confidence: 99%

Section: ) Rapid Cyclingmentioning

confidence: 99%

Section: Suicide Attempts and Bipolar Disordermentioning

confidence: 99%

See 2 more Smart Citations

Suicidal ideation and suicide attempts in bipolar disorder type I: an update for the clinician

Abreu

Lafer

Baca‐García

et al. 2009

Rev. Bras. Psiquiatr.

100

View full text Add to dashboard Cite

“…This is close to ArsenaultLapierre et al, 2004 (9) who found that the risk of mood disorders, specifically, depressive disorders, are greater in female suicides, whereas mood disorders represented 59.4 % of the female diagnoses and 47.4 % of the male diagnoses. However, Valtonen et al, 2006 (10) reported that male gender is predominant in patients with bipolar disorder who attempt suicide. In patients with psychotic disorders, the results showed that schizoaffective disorder, brief psychotic disorder .schizophrenioform were slightly higher in females than males (13% -4.3% -2.2% -5.6% _ 0.0% respectively).…”

Section: Disscutionmentioning

confidence: 99%

A Clinical Study of Suicide in Patients Admitted in Psychiatry Unit in Assuit University

Hassan

Noaman²,

Omar

2017

IAM

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Suicide is known as major public health problem. patients with mental disorders are at higher risk of suicide, the presence of risk factors may predispose a person to higher risk of suicide, However, research on suicide attempts in patients with mental disorders in low-and middle-income countries is limited, studying and identifying those factors can help for early intervention and prevention of suicide. the aim of this study was Clinical study of suicide including risk factors in psychiatric patients. This study was a descriptive proscriptive study. Samples consisted of 100 patients to evaluate systematically suicidal behavior and risk factors, which may be amenable to intervention. The result shows that the risk of suicide attempt was 41% for major depression, 20% for bipolar I disorder and 12% for schizophrenia, (p =0.001) major depressive disorder is higher in female patients than males,cut wrist was the most frequent method used (24%) and severity of suicidal behavior increase in patients with psychotic and chronic course of illness, also disability increase in psychotic patients than other disorders. conclusion: Detection of risk factors is clinically important because it has been suggested that prevention of suicide may be improved by more knowledge among these factors major depressive disorder is the most common psychiatric disorder that increase risk and frequency of suicide attempts ,cut wrist is most common method used and severity of suicide increased in chronic illness.

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Predictors of Prospectively Examined Suicide Attempts Among Youth With Bipolar Disorder

Goldstein

Ha²,

Axelson³

et al. 2012

Arch Gen Psychiatry

148

123

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Context Individuals with early onset of bipolar disorder are at high risk for suicide. Yet, no study to date has examined factors associated with prospective risk for suicide attempts among youth with bipolar disorder. Objective To examine past, intake, and follow-up predictors of prospectively observed suicide attempts among youth with bipolar disorder. Design We interviewed subjects, on average, every 9 months over a mean of 5 years using the Longitudinal Interval Follow-up Evaluation. Setting Outpatient and inpatient units at 3 university centers. Participants A total of 413 youths (mean [SD] age, 12.6 [3.3] years) who received a diagnosis of bipolar I disorder (n=244), bipolar II disorder (n=28), or bipolar disorder not otherwise specified (n=141). Main Outcome Measures Suicide attempt over prospective follow-up and past, intake, and follow-up predictors of suicide attempts. Results Of the 413 youths with bipolar disorder, 76 (18%) made at least 1 suicide attempt within 5 years of study intake; of these, 31 (8% of the entire sample and 41% of attempters) made multiple attempts. Girls had higher rates of attempts than did boys, but rates were similar for bipolar subtypes. The most potent past and intake predictors of prospectively examined suicide attempts included severity of depressive episode at study intake and family history of depression. Follow-up data were aggregated over 8-week intervals; greater number of weeks spent with threshold depression, substance use disorder, and mixed mood symptoms and greater number of weeks spent receiving outpatient psychosocial services in the preceding 8-week period predicted greater likelihood of a suicide attempt. Conclusions Early-onset bipolar disorder is associated with high rates of suicide attempts. Factors such as intake depressive severity and family history of depression should be considered in the assessment of suicide risk among youth with bipolar disorder. Persistent depression, mixed presentations, and active substance use disorder signal imminent risk for suicidal behavior in this population.

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Prospective study of risk factors for attempted suicide among patients with bipolar disorder

Abstract: During a medium-term follow-up, as many as one-fifth of random psychiatric patients with BD attempted suicide, which highlights the public health importance of suicidal behavior in BD. Previous suicide attempts, hopelessness and depressive phase were the key indicators of risk.

Cited by 112 publications

References 26 publications

Suicidal ideation and suicide attempts in bipolar disorder type I: an update for the clinician

Suicidal ideation and suicide attempts in bipolar disorder type I: an update for the clinician

A Clinical Study of Suicide in Patients Admitted in Psychiatry Unit in Assuit University

Predictors of Prospectively Examined Suicide Attempts Among Youth With Bipolar Disorder

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