Suicidal Ideation and Attempts in Bipolar I and II Disorders

The role of moral objections to suicide in the assessment of suicidal patients

“…Rather, these studies found that the relationship is mediated by suicidal ideation. That is, suicidal ideation is influenced by level of hopelessness and suicidal ideation influences risk of suicide attempt (Valtonen et al, 2005;Sokero et al, 2003;Dieserud et al, 2001). However, it is important to note that literature in this area has been inconsistent.…”

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

“…28 Valtonen et al, in a cross-sectional study with a sample of 191 patients with bipolar disorder, showed that 61% (n = 116) reported suicidal ideation during the index-episode and 20% (n = 39) had attempted suicide in the same episode. 29 Of the patients who reported suicidal ideation, 42% (n = 81) reported it lasted the entire episode and 55% (n = 105) reported it at some point during the episode. In this study, none of the patients who attempted suicide did so without suicidal ideation, which suggests a strong association between suicidal ideation and suicide attempts in bipolar disorder.…”

“…48 Based on the same sample, Galfalvy 34 and Grunebaum 55 also showed higher rates of comorbidity with borderline personality disorders in bipolar suicide attempters. Valtonen et al 29,33 found both in retrospective and prospective studies that personality disorders (clusters A, B and C) were associated with suicide attempters. Nakagawa et al, in a multiple regression analysis, showed that comorbidity with cluster B was associated with past suicidal behavior and severity of suicidal ideation.…”

Cognitive-behavioral therapy in the treatment of bipolar affective disorder

“…Stope relapsa iznose oko 50% za jednu godinu i do 70% u toku 4 godine praćenja [1,2], a stope suicida su takodje visoke, od 20%-30% [3,4]. Medju pacijentima sa bipolarnim I i bipolarnim II poremećajem hronicititet i neprekinuti periodi poremećaja su retki, ali većina pacijenata ima rekurentne epizode (90%), uglavnom multiple.…”