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Suicidal behaviour during different phases of bipolar disorder.
J Affect Disord. 2007 Jan; 97(1-3):101-7.JA

Abstract

BACKGROUND

There are no previous studies comparing the prevalence and risk factors for suicidal behaviour during different phases of bipolar disorder.

METHODS

In the Jorvi Bipolar Study (JoBS), 1630 psychiatric in- and outpatients were screened for bipolar disorders with the Mood Disorder Questionnaire. Using SCID I and II interviews, 191 patients were diagnosed with bipolar disorders (90 bipolar I, 101 bipolar II). Suicidal ideation was measured using the Scale for Suicidal Ideation (SSI). Prevalence and risk factors for ideation and attempts during different phases (depressive, mixed, depressive mixed and hypomanic/manic phases) were investigated.

RESULTS

There were marked differences between phases regarding suicide attempts and level of suicidal ideation. Hopelessness predicted suicidal behaviour during the depressive phase, whereas a subjective rating of severity of depression and younger age predicted suicide attempts during mixed phases.

LIMITATIONS

The relatively small sample size in some phases.

CONCLUSIONS

Suicidal behaviour varied markedly between different phases of BD. Suicide attempts and suicidal ideation were related to phases which are associated with depressive aspects of the illness. Hopelessness and severity of depression were key indicators of risk in all phases.

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Authors+Show Affiliations

Valtonen HM
Department of Mental Health and Alcohol Research, National Public Health Institute, Helsinki, Finland.
Suominen K
No affiliation info available
Mantere O
No affiliation info available
Leppämäki S
No affiliation info available
Arvilommi P
No affiliation info available
Isometsä E
No affiliation info available

MeSH

AdolescentAdultAffectAge FactorsBipolar DisorderCross-Sectional StudiesFemaleHumansInterview, PsychologicalMaleMiddle AgedMotivationPersonality InventoryRisk FactorsSuicide, AttemptedSurveys and Questionnaires

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16837060

Citation

Valtonen, Hanna M., et al. "Suicidal Behaviour During Different Phases of Bipolar Disorder." Journal of Affective Disorders, vol. 97, no. 1-3, 2007, pp. 101-7.
Valtonen HM, Suominen K, Mantere O, et al. Suicidal behaviour during different phases of bipolar disorder. J Affect Disord. 2007;97(1-3):101-7.
Valtonen, H. M., Suominen, K., Mantere, O., Leppämäki, S., Arvilommi, P., & Isometsä, E. (2007). Suicidal behaviour during different phases of bipolar disorder. Journal of Affective Disorders, 97(1-3), 101-7.
Valtonen HM, et al. Suicidal Behaviour During Different Phases of Bipolar Disorder. J Affect Disord. 2007;97(1-3):101-7. PubMed PMID: 16837060.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Suicidal behaviour during different phases of bipolar disorder. AU - Valtonen,Hanna M, AU - Suominen,Kirsi, AU - Mantere,Outi, AU - Leppämäki,Sami, AU - Arvilommi,Petri, AU - Isometsä,Erkki, Y1 - 2006/07/11/ PY - 2006/01/24/received PY - 2006/05/31/revised PY - 2006/05/31/accepted PY - 2006/7/14/pubmed PY - 2007/3/21/medline PY - 2006/7/14/entrez SP - 101 EP - 7 JF - Journal of affective disorders JO - J Affect Disord VL - 97 IS - 1-3 N2 - BACKGROUND: There are no previous studies comparing the prevalence and risk factors for suicidal behaviour during different phases of bipolar disorder. METHODS: In the Jorvi Bipolar Study (JoBS), 1630 psychiatric in- and outpatients were screened for bipolar disorders with the Mood Disorder Questionnaire. Using SCID I and II interviews, 191 patients were diagnosed with bipolar disorders (90 bipolar I, 101 bipolar II). Suicidal ideation was measured using the Scale for Suicidal Ideation (SSI). Prevalence and risk factors for ideation and attempts during different phases (depressive, mixed, depressive mixed and hypomanic/manic phases) were investigated. RESULTS: There were marked differences between phases regarding suicide attempts and level of suicidal ideation. Hopelessness predicted suicidal behaviour during the depressive phase, whereas a subjective rating of severity of depression and younger age predicted suicide attempts during mixed phases. LIMITATIONS: The relatively small sample size in some phases. CONCLUSIONS: Suicidal behaviour varied markedly between different phases of BD. Suicide attempts and suicidal ideation were related to phases which are associated with depressive aspects of the illness. Hopelessness and severity of depression were key indicators of risk in all phases. SN - 0165-0327 UR - https://www.unboundmedicine.com/medline/citation/16837060/Suicidal_behaviour_during_different_phases_of_bipolar_disorder_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-0327(06)00265-5 DB - PRIME DP - Unbound Medicine ER -