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Dissociative disorders and suicidality in psychiatric outpatients.
J Nerv Ment Dis 2008; 196(1):29-36JN

Abstract

Although it is common for patients with dissociative disorders to report a history of suicide attempts, there is very little data systematically comparing suicidality in patients with dissociative disorders versus patients without these disorders. The subjects in our study were 231 patients consecutively admitted to an inner-city, hospital-based outpatient psychiatric clinic. Eighty-two of these patients completed structured interviews for dissociative disorders, borderline personality disorder, and trauma history (dissociative disorders interview schedule) and for posttraumatic stress disorder and substance abuse (Structured Clinical Interview for DSM-IV). Patients receiving a dissociative disorder diagnosis were compared with nondissociative patients on measures of self-harm and suicidality. Presence of a dissociative disorder was strongly associated with all measures of self-harm and suicidality. When we focused on patients with a history of multiple suicide attempts, significant associations were found between several diagnoses (dissociative disorder; borderline personality disorder; posttraumatic stress disorder; alcohol abuse/dependence) and multiple suicide attempter status. When these diagnoses were entered in a logistic regression, a highly significant association remained for dissociative diagnosis and multiple suicide attempter status (odds ratio, 15.09; 95% confidence interval, 2.67-85.32; p = 0.002). Dissociative disorders are commonly overlooked in studies of suicidality, but in this population they were the strongest predictor of multiple suicide attempter status.

Authors+Show Affiliations

Department of Psychiatry, Albert Einstein College of Medicine, Bronx, New York 10467, USA. jbfoote@aol.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18195639

Citation

Foote, Brad, et al. "Dissociative Disorders and Suicidality in Psychiatric Outpatients." The Journal of Nervous and Mental Disease, vol. 196, no. 1, 2008, pp. 29-36.
Foote B, Smolin Y, Neft DI, et al. Dissociative disorders and suicidality in psychiatric outpatients. J Nerv Ment Dis. 2008;196(1):29-36.
Foote, B., Smolin, Y., Neft, D. I., & Lipschitz, D. (2008). Dissociative disorders and suicidality in psychiatric outpatients. The Journal of Nervous and Mental Disease, 196(1), pp. 29-36. doi:10.1097/NMD.0b013e31815fa4e7.
Foote B, et al. Dissociative Disorders and Suicidality in Psychiatric Outpatients. J Nerv Ment Dis. 2008;196(1):29-36. PubMed PMID: 18195639.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dissociative disorders and suicidality in psychiatric outpatients. AU - Foote,Brad, AU - Smolin,Yvette, AU - Neft,Deborah I, AU - Lipschitz,Deborah, PY - 2008/1/16/pubmed PY - 2008/1/30/medline PY - 2008/1/16/entrez SP - 29 EP - 36 JF - The Journal of nervous and mental disease JO - J. Nerv. Ment. Dis. VL - 196 IS - 1 N2 - Although it is common for patients with dissociative disorders to report a history of suicide attempts, there is very little data systematically comparing suicidality in patients with dissociative disorders versus patients without these disorders. The subjects in our study were 231 patients consecutively admitted to an inner-city, hospital-based outpatient psychiatric clinic. Eighty-two of these patients completed structured interviews for dissociative disorders, borderline personality disorder, and trauma history (dissociative disorders interview schedule) and for posttraumatic stress disorder and substance abuse (Structured Clinical Interview for DSM-IV). Patients receiving a dissociative disorder diagnosis were compared with nondissociative patients on measures of self-harm and suicidality. Presence of a dissociative disorder was strongly associated with all measures of self-harm and suicidality. When we focused on patients with a history of multiple suicide attempts, significant associations were found between several diagnoses (dissociative disorder; borderline personality disorder; posttraumatic stress disorder; alcohol abuse/dependence) and multiple suicide attempter status. When these diagnoses were entered in a logistic regression, a highly significant association remained for dissociative diagnosis and multiple suicide attempter status (odds ratio, 15.09; 95% confidence interval, 2.67-85.32; p = 0.002). Dissociative disorders are commonly overlooked in studies of suicidality, but in this population they were the strongest predictor of multiple suicide attempter status. SN - 1539-736X UR - https://www.unboundmedicine.com/medline/citation/18195639/Dissociative_disorders_and_suicidality_in_psychiatric_outpatients_ L2 - http://Insights.ovid.com/pubmed?pmid=18195639 DB - PRIME DP - Unbound Medicine ER -