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Can Temperament Identify Affectively Ill Patients Who Engage in Lethal or Near‐Lethal Suicidal Behavior? A 14‐Year Prospective Study

Maser, Jack D., Akiskal, Hagop S., Schettler, Pamela, Scheftner, William, Mueller, Timothy, Endicott, Jean, Solomon, David, Clayton, Paula·2002·Suicide and Life-Threatening Behavior

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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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
The paper
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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