Suicide attempts are associated with worse quality of life in patients with bipolar disorder type I

Abreu, Lucimar Santiago de; Nery, Fabiano G.; Harkavy‐Friedman, Jill; Almeida, Karla Mathias de; Gomes, Bernardo Carramão; Oquendo, María A.; Lafer, Beny

doi:10.1016/j.comppsych.2011.03.003

Cited by 57 publications

(49 citation statements)

References 26 publications

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“…Table 1 provides an overview of all studies included in the final sample and of all data elements used during the data analysis process. Study designs included one case report (Kerner et al, 2013), seven transversal studies (Goldstein et al, 2012;Kheirabadi et al, 2012;Undurraga et al, 2012;De Abreu et al, 2012;Algorta et al, 2011;Evans et al, 2012;Gomes et al, 2010), nineteen cohort studies (Parmentier et al, 2012;Huber et al, 2014;Ruengorn et al, 2012;Etain et al, 2013;Cassidy, 2011;Baldessarini et al, 2012;Bellivier et al, 2011;Sears et al, 2013;Jiménez et al, 2013;Leon et al, 2012;Finseth et al, 2012;Oquendo et al, 2010;Kenneson et al, 2013;Gilbert et al, 2011;Shabani et al, 2013;Acosta et al, 2012;Song et al, 2012;Suttajit et al, 2013), and fifteen case-control studies (Eroglu et al, 2013;Antypa et al, 2013;Ryu et al, 2010;Manchia et al, 2013;Neves et al, 2010;Magno et al, 2011;Yoon et al, 2011;Arias et al, 2013;Clements et al, 2013;Kamali et al, 2012;de Moraes et al, 2013;Azorin et al, 2013;…”

Section: Resultsmentioning

confidence: 99%

“…Risk factors associated with sociodemographic components (seven studies) (Huber et al, 2014;De Abreu et al, 2012;Ruengorn et al, 2012;Algorta et al, 2011;Cassidy, 2011;Antypa et al, 2013;Ryu et al, 2010); Risk factors associated with genetic components (six studies) (Manchia et al, 2013;Sears et al, 2013;Neves et al, 2010;Magno et al, 2011;Jiménez et al, 2013;Kerner et al, 2013); Risk factors associated with Medicines and Drugs in general that interfere with bipolar disorder (eight studies) (Bellivier et al, 2011;Yoon et al, 2011;Leon et al, 2012;Arias et al, 2013;Clements et al, 2013;Finseth et al, 2012;Oquendo et al, 2010;Kenneson et al, 2013); Risk factors associated with Biological components (three studies) (Kamali et al, 2012;Evans et al, 2012;Gomes et al, 2010); Risk factors associated with Psychological causes (seven studies) (Parmentier et al, 2012;Shabani et al, 2013;Acosta et al, 2012;Song et al, 2012;Suttajit et al, 2013;Stewart et al, 2009); and Risk factors associated with components of Religious and Spiritual (three studies) components (Azorin et al, 2013;Dervic et al, 2011;. Among the 42 studies, 8 discussed about "suicide risk factors in Bipolar Affective disorder" -more broadly (Goldstein et al, 2012;Eroglu et al, 2013;Kheirabadi et al, 2012;Undurraga et al, 2012;…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Risk factors for suicide in bipolar disorder: A systematic review

Costa¹,

Alencar²,

Neto³

et al. 2015

Journal of Affective Disorders

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Risk factors for suicide in bipolar disorder: A systematic review

Costa¹,

Alencar²,

Neto³

et al. 2015

Journal of Affective Disorders

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“…In addition, suicidal risk in patients with schizophrenia was significantly associated with poor social and psychological quality of life, identifying important subgroups of the patients at high risk for suicide [10][11][12]. In patients with diabetes mellitus or bipolar disorder, lower HRQOL were significant contributors to suicidal behavior [7,9]. These findings support the need for quality of life assessments to identify people at risk for suicide behaviors with a view toward early intervention.…”

Section: Discussionmentioning

confidence: 67%

“…Previous studies have revealed a significant association between HRQOL and suicide behaviors [6][7][8][9][10][11][12]. Although the assessment of HRQOL provides valuable insight into the risk of suicide, research knowledge is limited by the small number of subjects with suicidal behaviors, the generally older population of subjects with suicidal behaviors, patients with a specific disease, and/or insufficient adjustment for confounding variables.…”

Section: Introductionmentioning

confidence: 99%

Suicide Behaviors and Health-Related Quality of Life: Results from the Korean Community Health Survey of 393,073 Adults

Min

2015

J Psychiatry

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Background: Suicide is a major public health concern worldwide, but it is largely preventable. Although previous studies have suggested quality of life as a predictor of suicide risk, knowledge about this topic is limited by the small number of available subjects and insufficient information. The aim of this study is to investigate the association between the EuroQoL 5 dimension (EQ-5D) measurement and the risk of suicidal behaviors among adults in a representative sample of Korea. Subjects and Methods:The data were obtained from the 2008 and 2009 Korean Community Health Survey. A total of 393,073 participants older than 20 years were included in this study. These participants had no missing information on questionnaires about the EQ-5D measures, suicide behaviors, and other covariates. Of these subjects, 37,689 experienced only suicide ideation and 1,910 subjects experienced both suicide ideation and suicide attempts. Results:We found that participants who experienced suicide ideation and/or suicide attempts had significantly lower quality of life than those who had not experienced such behaviors. After adjusting for confounding variables, the estimate of EQ-5D score was lowest in subjects with both suicide ideation and suicide attempts, followed by subjects with only ideation and then subjects without suicide behaviors. Conclusions:Considering that suicide ideation and suicide attempts are important factors in the likelihood of eventual suicide, assessing quality of life may be beneficial for identifying adults at high-risk of suicide and for reducing suicide-related risks at the population level.

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“…Most research suggests that impulsiveness [24][25][26] , a greater number of depressive episodes over the course of the disease [27][28][29][30] , a greater number of psychiatric hospitalizations 28,31,32 , early age of onset of the disorder 27,32-34 , a previous history of SAs 29,30,35,36 , the presence of aggression and impulsiveness throughout life 28,30,32 and suicidal ideation in the past 28,29,31,33 , are risk factors for suicidal behavior (Table 1). A few other studies point to such factors as: physical and sexual abuse 31,33 , comorbidity with narcissistic, antisocial, or borderline personality disorders 31,35 , the presence of hopelessness 29,35 , male gender 28,29 , the slightest presence of psychosis, few reasons to live 28 , lower scores for quality of life 37 , marital status of single, a family history of suicide and SA, the predominance of depressive symptoms, the severity of episodes, mixed states, rapid cycling, the abuse of alcohol/drugs 27,33 , mania induced by antidepressants (ADs) 27 , lack of confidence 31 , anxiety, fewer episodes of the illness, shorter duration of illness, early age of admission, severity, and the first episode of depression 29 . However, not all studies confirm these findings [27][28]…”

Section: Risk Factorsmentioning

confidence: 99%

Comportamento suicida no transtorno afetivo bipolar e características sociodemográficas, clínicas e neuroanatômicas associadas

Nery-Fernandes¹,

Miranda‐Scippa²

2013

Rev. psiquiatr. clín.

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Suicidal behavior in bipolar affective disorder and socio-demographic, clinical and neuroanatomical characteristics associated Abstract Background: Bipolar patients have a higher risk of suicide when compared with the general population and other psychiatric disorders. The aim of this article is to review the social-demographic, clinical and neuroanatomical aspects of suicidal behavior in bipolar patients. Methods: A non-systematic review of literature through PsycoInfo, Lilacs, Medline and PubMed eletronic databases was conducted, using the keywords: "suicide attempt", "suicidal behavior", "suicide", "bipolar disorder", "suicide risk factor", "neuroimaging", and "suicide neurobiology". Results: Several clinical and sociodemographics characteristics have been associated with suicide attempts in bipolar patients, but results are conflicting. Regarding to neuroimaging, the data are rare, and the results are inconsistent, with reports of white matter hyperintensities and changes in structure and function of the prefrontal cortex. Discussion: Given that suicide is a potentially preventable cause of death, the understanding of neurobiological and clinical correlates of suicidal behavior can be useful in reducing rates of attempt suicide in bipolar patients. Nery-Fernandes F, Miranda-Scippa A / Rev Psiq Clín. 2013;40(6):220-4Keywords: Attempt suicide, suicidal behavior, bipolar disorder, suicide risk factor, neuroimaging. ResumoContexto: Pacientes com transtorno bipolar possuem risco maior de suicídio, quando comparados com a população geral e com outros transtornos psiquiátri-cos. Este artigo tem como objetivo revisar os aspectos sociodemográficos, clínicos e neuroanatômicos associados ao comportamento suicida em pacientes com transtorno bipolar com história de tentativa de suicídio. Métodos: Revisão não sistemática da literatura, por meio dos indexadores eletrônicos: PsycoInfo, Lilacs, Medline e PubMed, utilizando-se as palavras-chave: "attempt suicide", "suicidal behavior", "suicide", "bipolar disorder", "suicide risk factor", "neuroimaging" e "suicide neurobiology". Resultados: Diversas características sociodemográficas e clínicas têm sido associadas às tentativas de suicídio em pacientes bipolares, porém os resultados são ainda conflitantes. Em relação aos achados de neuroimagem, os dados também são escassos e inconsistentes. Destes, a hiperintensidade periventricular em substância branca e as alterações na estrutura e função do córtex pré-frontal são os mais descritos. Conclusões: Considerando que o suicídio é uma causa potencialmente evitável de morte, a compreensão dos correlatos clínicos e neurobiológicos do comportamento suicida pode ser útil na prevenção desse comportamento. Sendo assim, estudos que avaliem melhor os fatores de risco para o comportamento suicida nessa população são necessários. -Fernandes F, Miranda-Scippa A / Rev Psiq Clín. 2013;40(6):220-4 Palavras-chave: Tentativa de suicídio, comportamento suicida, transtorno bipolar, fator de risco, neuroimagem. Nery

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Suicide attempts are associated with worse quality of life in patients with bipolar disorder type I

Cited by 57 publications

References 26 publications

Risk factors for suicide in bipolar disorder: A systematic review

Risk factors for suicide in bipolar disorder: A systematic review

Suicide Behaviors and Health-Related Quality of Life: Results from the Korean Community Health Survey of 393,073 Adults

Comportamento suicida no transtorno afetivo bipolar e características sociodemográficas, clínicas e neuroanatômicas associadas

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