Risk profiles of personality traits for suicidality among mood disorder patients and community controls

Su, Mei-Hsin; Chen, H.-C.; Lu, Mong Liang; Feng, Jung; Chen, I.-M.; Wu, Chi‐Shin; Chang, Seyeun; Kuo, Po-Hsiu

doi:10.1111/acps.12834

Cited by 32 publications

(29 citation statements)

References 55 publications

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“…Harm avoidance was associated with suicide risk among Croatian war veterans with PTSD (Jaksic et al, ). High harm avoidance conferred prominent and independent risks of suicidal ideation and suicide attempts in patients with mood disorders (Su et al, ). Furthermore, harm avoidance was elevated among suicide attempters, relative to nonattempters, and higher harm avoidance was associated with a greater severity of suicidal behavior (Perroud et al, ).…”

Section: Discussionmentioning

confidence: 99%

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Interpersonal Risk Factors for Suicide in Cocaine Dependence: Association with Self‐Esteem, Personality Traits, and Childhood Abuse

Zhornitsky

Dhingra

et al. 2020

Suicide & Life Threat Behav

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Objective Studies have linked cocaine dependence to suicidality. According to the Interpersonal Theory of Suicide, suicidal behavior becomes likely with the simultaneous presence of perceived burdensomeness (PB), lack of (or thwarted) belongingness (TB), and acquired fearlessness about death (FAD). Here, we examined personality and other variables, including depression, self‐esteem, childhood abuse, and substance use, as predictors of these risk factors in cocaine‐dependent individuals (CDs). Methods Seventy CDs and 70 healthy controls (HCs) participated. We examined group differences in a group‐by‐sex analysis of variance and identified predictors of PB, TB, and FAD in stepwise regressions. Results CDs exhibited elevated PB and TB but not FAD, compared to HCs. CDs also exhibited elevated harm avoidance, novelty seeking, depression, and lower self‐esteem and reward dependence. Females reported elevated sexual abuse, harm avoidance, reward dependence, depression, but lower FAD, relative to males, among CDs and HCs. Among CDs, PB was predicted by lower self‐esteem and greater emotional abuse; TB was predicted by lower self‐esteem and reward dependence, as well as greater emotional and sexual abuse; and FAD was predicted by lower harm avoidance and greater physical abuse. Conclusions Interventions targeting suicidality in cocaine dependence should take into consideration self‐esteem, personality traits, and childhood abuse.

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Section: Discussionmentioning

confidence: 99%

“…The TPQ consists of 44 items that are scored as true or false. Studies have found that high harm avoidance, high novelty seeking, and low reward dependence are associated with suicidal ideation and suicide attempts (Chapman, Derbidge, Cooney, Hong, & Linehan, ; Jaksic et al, ; Jylha et al, ; Perroud et al, ; Su et al, ).…”

Section: Methodsmentioning

confidence: 99%

Interpersonal Risk Factors for Suicide in Cocaine Dependence: Association with Self‐Esteem, Personality Traits, and Childhood Abuse

Zhornitsky

Dhingra

et al. 2020

Suicide & Life Threat Behav

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“…Additionally, O was a negative predictor of PB, and E and A negatively correlated with PB, respectively TB. An association between N, E, and variables related to suicide desire has already been identified [ 9 , 50 ]. Additionally, a conjoint presence of higher levels of N and lower levels of E, A and C characterized individuals with psychiatric disorders [ 51 ] and more specifically SI [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

The Function of Personality in Suicidal Ideation from the Perspective of the Interpersonal-Psychological Theory of Suicide

Baertschi

Costanza

Canuto

et al. 2018

IJERPH

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The Interpersonal-Psychological Theory of Suicide (IPTS) has been increasingly studied over the last years, responding to the demand for a valid framework addressing suicidality. Yet, only a few studies have explored the function of personality in the IPTS and none with clinical patients. We aimed to contribute to fill this gap in investigating the relationship between personality as conceptualized by the Five-Factor Model, the IPTS constructs, and a dimensional measure of current suicidal ideation. We conducted correlation, multiple linear regression, and path analyses based on a trait-interpersonal framework in a sample of 201 individuals visiting the psychiatric emergency room of a general hospital with current suicidal ideation. Neuroticism (positively) and openness (negatively) predicted perceived burdensomeness, while neuroticism (positively) and extraversion (negatively) predicted thwarted belongingness. Higher conscientiousness and lower extraversion were both predictors of the acquired capability for suicide. However, none of the models involving path analyses with IPTS variables as mediators of the relationship between personality traits and suicidal ideation was adequately adjusted to the data. Thus, it appears that personality plays a significant albeit modest role in suicidality when considered from an IPTS perspective. As personality is frequently assessed in the clinical routine, health professionals should consider it as complementary to detect individuals at risk of or presenting suicidal ideation.

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“…A recent study in type-I bipolar disorder identified two N-facets as relevant predictors for suicide, albeit with a smaller effect than mood disturbance (25). Moreover, Su et al (26) found that high levels of N, particularly when associated to low levels of E were predictors of suicidal behavior in individuals with no history of mood disorder. In our sample, although N is significant in separating the clusters, all three of them score very high in comparison to the general population.…”

Section: Discussionmentioning

confidence: 98%

“…Moreover, Su et al. ( 26 ) found that high levels of N, particularly when associated to low levels of E were predictors of suicidal behavior in individuals with no history of mood disorder. In our sample, although N is significant in separating the clusters, all three of them score very high in comparison to the general population.…”

Section: Discussionmentioning

confidence: 99%

Beyond the Categorical Distinction Between Borderline Personality Disorder and Bipolar II Disorder Through the Identification of Personality Traits Profiles

et al. 2020

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Background: The relationship between borderline personality disorder (BPD) and type-II bipolar disorder (BDII) is not clearly understood. Nevertheless, in clinical practice and research, most efforts focus on establishing a categorical distinction between the two. We propose using personality traits as a more informative strategy to describe them. Methods: Five-Factor Model personality traits were measured in 73 individuals with either BPD or BDII. Latent class cluster analysis was applied to the sample. Results: A three-cluster model resulted the best fit to the data, where all clusters had high neuroticism and low extraversion scores but differed widely on the other traits. The clusters' boundaries did not match the categorical diagnosis. Conclusions: Our sample showed significant heterogeneity on personality traits, which can have a relevant effect on the outcome of each disorder and that was not captured by the categorical diagnosis. Thus, we advocate for a multivariate approach as a better way to understand the relationship between BPD and BDII.

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Risk profiles of personality traits for suicidality among mood disorder patients and community controls

Cited by 32 publications

References 55 publications

Interpersonal Risk Factors for Suicide in Cocaine Dependence: Association with Self‐Esteem, Personality Traits, and Childhood Abuse

Interpersonal Risk Factors for Suicide in Cocaine Dependence: Association with Self‐Esteem, Personality Traits, and Childhood Abuse

The Function of Personality in Suicidal Ideation from the Perspective of the Interpersonal-Psychological Theory of Suicide

Beyond the Categorical Distinction Between Borderline Personality Disorder and Bipolar II Disorder Through the Identification of Personality Traits Profiles

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