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Cited by 19Bipolar Disorder and TreatmentSuicide and Self-Harm StudiesPersonality Disorders and Psychopathology

Psychosocial Factors and Comorbidity Associated with Suicide Attempts: Findings in Patients with Bipolar Disorder

McGrady, Angele, Lynch, Denis, Rapport, Daniel·2017·Psychopathology
DOI 10.1159/000453272
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Abstract

Background: Suicidal attempts occur more frequently in patients with bipolar disorder compared to other mood disorders. The goal of this study is to identify psychosocial factors and comorbidity associated with this serious and life-threatening behavior. Sampling and Methods: Subjects were 121 patients evaluated and treated at a university outpatient psychiatric clinic. The patients' charts were examined to determine history of suicide attempts, demographic and psychosocial variables, and comorbid symptoms. Results: Forty-one percent of the subjects had attempted suicide. Patients who were younger at onset of illness (p = 0.02) and those who had been abused (p = 0.003) were more likely to attempt suicide. Suicide attempts were also more common in subjects with a history of alcohol abuse (p = 0.003) and those with psychotic symptoms (p = 0.02). Conclusions: Based on the results of this study, it is recommended that increased emphasis be placed on the psychosocial history and comorbid symptoms in patients with bipolar disorder. While asking about previous suicide attempts is the most accurate way to predict suicidal behavior, age of onset, past abuse, and overuse of alcohol may also be helpful. Since suicidal behavior in patients with bipolar disorder is relatively common, intensified efforts to predict this behavior may be life-saving.

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Crossref · 10.1159/000453272

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Authors
McGrady, A., Lynch, D., & Rapport, D.
Affiliations
University of Toledo (US)
ORCID
Venue
Psychopathology
Publisher
S. Karger AG
Published
2017
Volume
50
Issue
2
Pages
171-174
ISSN
  • 0254-4962 (ISSN-L)
  • 1423-033X
DOI
10.1159/000453272
OpenAlex
W2582610694
Cited by
19
References
29
Citations by year
2025: 4 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 3 · 2018: 4 · 2017: 2
FWCI
2.03
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Psychopathology (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
suicide attempts, bipolar disorder, psychosocial risk factors, comorbidities, age of onset, childhood abuse, alcohol abuse, psychotic symptoms, suicide risk prediction
MeSH terms
Adult, Alcoholism, Bipolar Disorder, Female, Humans, Male, Middle Aged, Risk Factors, Severity of Illness Index, Suicide, Attempted, Comorbidity, Age of Onset, Mood Disorders, Substance-Related Disorders, Suicidal Ideation

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