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Can Temperament Identify Affectively Ill Patients Who Engage in Lethal or Near‐Lethal Suicidal Behavior? A 14‐Year Prospective Study
Abstract
Among affectively ill patients followed naturalistically for up to 14 years, 36 committed suicide, 120 attempted suicide, and 373 had no recorded suicide attempt. Comparing these three groups on clinical and intake personality revealed that suicide completed within 12 months was predicted by clinical but not personality variables, and suicide beyond 12 months was predicted by newly derived temperament factors, not clinical variables. Attempters and completers shared core characteristics: previous attempts, impulsivity, substance abuse, and psychic turmoil within a cycling/mixed bipolar disorder. Such temperament attributes as impulsivity and assertiveness were the best prospective predictors of completed suicides beyond 12 months with a sensitivity level of 74% and specificity level of 82%.
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Cited by
The interpersonal theory of suicide.
Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., & Joiner, T. E. (2010) · Psychological Review · doi:10.1037/a0018697 · Cited by 5,292
Risk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research
Franklin, J. C., Ribeiro, J. D., Fox, K. R., Bentley, K. H., Kleiman, E. M., Huang, X., Musacchio, K. M., Jaroszewski, A. C., Chang, B. P., & Nock, M. K. (2017) · Psychological Bulletin · doi:10.1037/bul0000084 · Cited by 3,784
Ribeiro, J. D., Franklin, J. C., Fox, K. R., Bentley, K. H., Kleiman, E. M., Chang, B. P., & Nock, M. K. (2016) · Psychological Medicine · doi:10.1017/s0033291715001804 · Cited by 1,346
Van Orden, K. A., Witte, T. K., Gordon, K. H., Bender, T. W., & Joiner, T. E. (2008) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.76.1.72 · Cited by 1,126
Oquendo, M. A., Galfalvy, H., Russo, S., Ellis, S. P., Grunebaum, M. F., Burke, A., & Mann, J. J. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.8.1433 · Cited by 605
Metadata
- Authors
- Maser, J. D., Akiskal, H. S., Schettler, P., Scheftner, W., Mueller, T., Endicott, J., Solomon, D., & Clayton, P.
- Venue
- Suicide and Life-Threatening Behavior
- Publisher
- Wiley
- Published
- 2002-03
- Volume
- 32
- Issue
- 1
- Pages
- 10-32
- ISSN
- 0363-0234 (ISSN-L)
- 1943-278X
- OpenAlex
- W2020555690
- Cited by
- 222
- References
- 0
- FWCI
- 8.96
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Can Temperament Identify Affectively Ill Patients Who Engage in Lethal or Near‐Lethal Suicidal Behavior? A 14‐Year Prospective Study. https://app.cochat.ai/papers/10.1521/suli.32.1.10.22183
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- Maser, J. D., Akiskal, H. S., Schettler, P., Scheftner, W., Mueller, T., Endicott, J., Solomon, D., & Clayton, P. (2002). Can Temperament Identify Affectively Ill Patients Who Engage in Lethal or Near‐Lethal Suicidal Behavior? A 14‐Year Prospective Study. Suicide and Life-Threatening Behavior. https://doi.org/10.1521/suli.32.1.10.22183
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