Self-poisoning suicide deaths in people with bipolar disorder: characterizing a subgroup and identifying treatment patterns

Schaffer, Ayal; Weinstock, Lauren M.; Sinyor, Mark; Reis, Catherine; Goldstein, Benjamin I.; Yatham, Lakshmi N.; Levitt, Anthony J.

doi:10.1186/s40345-017-0081-9

Cited by 9 publications

(12 citation statements)

References 52 publications

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“…We identified a small number of studies on suicide that included toxicology data and provided some information on these dimensions (table 2). A number of these studies were conducted in Ontario or Quebec, or on special populations including among children and youth,36 37 people with a specific mental disorder or chronic disease,49 50 or those who died by a specific means of suicide 7 39–41 51–53. The higher proportion of studies from Ontario and Quebec may be due to special institutional support, arrangements that encourage attention to suicide deaths, or the interest of researchers in the jurisdiction.…”

Section: Discussionmentioning

confidence: 99%

Alcohol and other drugs in suicide in Canada: opportunities to support prevention through enhanced monitoring

et al. 2020

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The use of alcohol and other drugs has been identified as a significant factor related to suicide through multiple pathways. This paper highlights current understanding of their contributions to suicide in Canada and identifies opportunities for enhancing monitoring and prevention initiatives. Publications from 1998 to 2018 about suicide in Canada and that referred to alcohol or other drugs were identified using PubMed and Google Scholar. A second literature search restricted to articles including results of toxicology testing was conducted by a librarian. We summarised the literature identified on ecological analyses, attributable fractions and deaths, and research including the results of toxicological analyses. Our literature search yielded 5230 publications, and 164 documents were identified for full-text screening. We summarised the findings from 30 articles. Ecological analyses support the association between alcohol sales, annual per capita alcohol consumption and suicide rates. Based on published estimates, approximately a quarter of suicide deaths in Canada are alcohol-attributable, while the estimated attributable fraction for illegal drugs is more variable. Finally, there is a dearth of literature examining the role of acute alcohol and/or drug consumption prior to suicide based on toxicological findings. The proportion of suicide decedents with drugs or alcohol present at the time of death varies widely. While there is evidence on the role of alcohol and drugs in suicide deaths, there is not a large body of research about the acute use of these substances at the time of death among suicide decedents in Canada. Our understanding of the role of alcohol and other drugs in suicide deaths could be enhanced through systematic documentation, which in turn could provide much needed guidance for clinical practice, prevention strategies and policy initiatives.

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Section: Discussionmentioning

confidence: 99%

Alcohol and other drugs in suicide in Canada: opportunities to support prevention through enhanced monitoring

et al. 2020

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“…This was the largest period of data available. The following variables were included: Similar to other studies with comparable data, 18,36 variables related to social and clinical characteristics were included in the medical examiner records and subsequently in the NLCHI Suicide Database if they were known to be present. That is, they were coded as "yes, present" if there was confirmation from any investigative materials that the individual had previous experience or exposure to the factor.…”

Section: Variablesmentioning

confidence: 99%

Rural–Urban Differences in Suicide Mortality: An Observational Study in Newfoundland and Labrador, Canada: Différences de la Mortalité Par Suicide en Milieu Rural-Urbain: Une Étude Observationnelle à Terre-Neuve et Labrador, Canada

Reccord¹,

Power²,

Hatfield

et al. 2021

Can J Psychiatry

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Background: Suicide rates are higher in rural compared to urban areas. Although this pattern appears to be driven by higher rates among men, there is limited evidence about the characteristics of rural people who die by suicide in Canada. The objective of this study was to examine the demographics, manner of death, and social and clinical antecedents of people who died by suicide in rural areas compared to urban areas. Methods: We conducted an observational study of all suicide deaths that occurred among Newfoundland and Labrador residents between 1997 and 2016 using a linked data set derived from a comprehensive review of provincial medical examiner records. We used t tests and χ2 to assess associations between rural/urban status and variables related to demographics, circumstances, and manner of death, as well as social and medical history. Logistic regression was utilized to assess the independent contribution of any variable found to be significant in univariate analysis. Results: Rural people who died by suicide accounted for 54.8% of all deaths over a 20-year period. Overall, 81.6% of people who died were male. Compared to urban, rural people who died by suicide were younger, more likely to use firearms or hanging, and had a higher mean blood alcohol content at the time of death (27.69 vs. 22.95 mmol/L). Rural people were also less likely to have had a known history of a prior suicide attempt, psychiatric disorder, alcohol or substance abuse, or chronic pain. Discussion: The demographic and clinical differences between rural and urban people who died by suicide underscore the need for suicide prevention approaches that account for place-based differences. A key challenge for suicide prevention in rural communities is to ensure that interventions are developed and implemented in a manner that fits local contexts.

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“…Bipolar disorders are devastating mental health conditions that can virtually affect anyone. Researchers have investigated numerous aspects of mood disorders including etiology (Frangou, 2012; McKinnon, Cusi, & MacQueen, 2013), assessment (Hood & Johnson, 2007; Rush, Trivdei, & Ibrahim, 2003), suicide (Pompili, Gonda, & Serafini, 2013; Schaffer et al, 2017), diagnosis (American Psychiatric Association [APA], 2013; Ilgen, Bohnert, & Ignacio, 2010), pharmacology (Yerevanian & Cho, 2013), stigma (Lazowski, Koller, Stuart, & Milev, 2012; Thornicroft, Rose, Kassam, & Sartorius, 2007), treatment (Anderson & Lewis, 2000; Miklowitz, Otto, & Frank, 2007), quality of life (Zendjidjian, Richieri, & Adida, 2012), and relationships (Drapalski et al, 2008; Granek, Danan, Bersudsky, & Osher, 2016). To date, little research has explored the influence between caregiver strain and their adult child’s healing from bipolar I disorder.…”

Section: Theoretical and Research Basismentioning

confidence: 99%

Case Study: A Transactional Analysis Model for a Single Mother and Her Adult Child With Bipolar Disorder

Carter

2018

Clinical Case Studies

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This case study describes a transactional analysis model based on the strain of a single mother with an adult son suffering from bipolar I disorder. The study examines interaction patterns within the clinical setting; the therapeutic view examines contextual factors that affect this mother and her adult son through assessment and recovery with transactional analysis therapy. The 16-session therapeutic experience of a client and his mother is presented. The subjects in the case study were administered the Sixteen Personality Factor Questionnaire (16PF) assessment tool during the second and 16th sessions. There was a significant change from pretest to posttest stens scores regarding increased scores in emotional stability from 2 (extremely low) to 4 (average), rule consciousness from 1 (extremely low) to 3 (moderately low), openness to change from 6 (average) to 8 (moderately high), and self-control from 1 (extremely low) to 4 (average). Decreased scores included apprehension from 9 (extremely high) to 7 (average) and tension from 6 (average) to 3 (moderately low). Behavioral changes after a 1-month follow-up included taking the bus to sign up for a college class, taking his medication as prescribed, getting a part-time job in the kitchen at the Veteran Administration Medical Center, and developing a budget to manage his disability check.

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Self-poisoning suicide deaths in people with bipolar disorder: characterizing a subgroup and identifying treatment patterns

Cited by 9 publications

References 52 publications

Alcohol and other drugs in suicide in Canada: opportunities to support prevention through enhanced monitoring

Alcohol and other drugs in suicide in Canada: opportunities to support prevention through enhanced monitoring

Rural–Urban Differences in Suicide Mortality: An Observational Study in Newfoundland and Labrador, Canada: Différences de la Mortalité Par Suicide en Milieu Rural-Urbain: Une Étude Observationnelle à Terre-Neuve et Labrador, Canada

Case Study: A Transactional Analysis Model for a Single Mother and Her Adult Child With Bipolar Disorder

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