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The Association of Lifetime Suicide Attempts With Anxiety Disorders in Patients With Bipolar Disorder
Abstract
The association of lifetime suicidal behaviors with anxiety disorders (ADs) in patients with bipolar disorder (BD) has been controversial. In this study, we hypothesized that certain types of ADs were related to the occurrence of past suicide attempts (SAs) independent of the severity of the BD, including the presence of past affective episodes. Lifetime diagnoses of BD and ADs were assessed using the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) Axis I Disorders (SCID-I). Of the total sample of 200 patients with BD, 32.0% had at least 1 past SA. The mean number of previous hospitalizations, a history of social AD, and a history of posttraumatic stress disorder were strongly associated with past SAs in patients with bipolar I disorder. The presence of lifetime social AD was associated with lifetime SAs independent of previous depressive episodes. Therefore, we suggest that social AD itself is associated with a greater risk for SAs in patients with BD independent of the presence of depression.
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“Several investigations have linked social anxiety disorder with increased rates of suicidal ideation and behaviour (Perroud et al. 2007; Kocabas et al. 2019; Amuk and Patel 2020; Masi et al. 2021), as well as with substance use problems (Yapici Eser et al. 2018) in people with bipolar disorder.”
From Cognitive behavioural therapy for social anxiety disorder in people with bipolar disorder: a case series (2024) · cites this paper as Kocabas et al. 2019
In the citing paper
“These associations were stronger for social anxiety disorder than for any other anxiety disorder (Perroud et al. 2007; Yapici Eser et al. 2018; Kocabas et al. 2019).”
From Cognitive behavioural therapy for social anxiety disorder in people with bipolar disorder: a case series (2024) · cites this paper as Kocabas et al. 2019
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Cited by
Sorted by citations
Pavlova, B., Warnock-Parkes, E., Alda, M., Uher, R., & Clark, D. M. (2024) · International Journal of Bipolar Disorders · doi:10.1186/s40345-023-00321-8 · Cited by 5
Metadata
- Authors
- KOCABAS, O., SEVINCOK, L., MEMIS, C. O., & DOGAN, B.
- Venue
- Journal of Psychiatric Practice
- Published
- 2019-01
- Volume
- 25
- Issue
- 1
- Pages
- 7-13
- ISSN
- 1527-4160 (ISSN-L)
- 1538-1145
- OpenAlex
- W2913341262
- Cited by
- 8
- References
- 39
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2022: 1 · 2021: 2 · 2020: 2
- FWCI
- 0.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychiatric Practice (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- bipolar disorder, suicide attempts, anxiety disorders, social anxiety disorder, post-traumatic stress disorder, bipolar I disorder, depressive episodes, hospitalization history
- MeSH terms
- Adolescent, Adult, Aged, Anxiety Disorders, Bipolar Disorder, Female, Humans, Male, Middle Aged, Suicide, Attempted, Turkey, Comorbidity, Young Adult
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