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Differences and similarities of risk factors for suicidal ideation and attempts among patients with depressive or bipolar disorders

Aaltonen, Kari ; Näätänen, Petri ; Heikkinen, Martti ; Koivisto, Maaria ; Baryshnikov, Ilya ; Karpov, Boris ; Oksanen, Jorma ; Melartin, Tarja ; Suominen, Kirsi ; Joffe, Grigori ; Paunio, Tiina ; Isometsä, Erkki

Journal of affective disorders, 2016-03, Vol.193, p.318-330 [Periódico revisado por pares]

Netherlands: Elsevier B.V

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Título:
Differences and similarities of risk factors for suicidal ideation and attempts among patients with depressive or bipolar disorders
Autor: Aaltonen, Kari ; Näätänen, Petri ; Heikkinen, Martti ; Koivisto, Maaria ; Baryshnikov, Ilya ; Karpov, Boris ; Oksanen, Jorma ; Melartin, Tarja ; Suominen, Kirsi ; Joffe, Grigori ; Paunio, Tiina ; Isometsä, Erkki
Assuntos: Adult ; Bipolar disorder ; Bipolar Disorder - diagnosis ; Bipolar Disorder - psychology ; Cross-Sectional Studies ; Depressive disorder ; Depressive Disorder - diagnosis ; Depressive Disorder - psychology ; Female ; Finland ; Health Surveys ; Humans ; International Classification of Diseases ; Male ; Middle Aged ; Psychiatry ; Regression Analysis ; Retrospective Studies ; Risk factor ; Risk Factors ; Suicidal behaviour ; Suicidal Ideation ; Suicide attempt ; Suicide, Attempted - psychology ; Suicide, Attempted - statistics & numerical data ; Young Adult
É parte de: Journal of affective disorders, 2016-03, Vol.193, p.318-330
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: Abstract Background Substantial literature exists on risk factors for suicidal behaviour. However, their comparative strength, independence and specificity for either suicidal ideation or suicide attempt(s) remain unclear. Methods The Helsinki University Psychiatric Consortium (HUPC) Study surveyed 287 psychiatric care patients with ICD-10-DCR depressive or bipolar disorders about lifetime suicidal behaviour, developmental history and attachment style, personality and psychological traits, current and lifetime symptom profiles, and life events. Psychiatric records were used to confirm diagnosis and complement information on suicide attempts. Multinomial regression models predicting lifetime suicidal ideation and single or repeated suicide attempts were generated. Results Overall, 21.6% patients had no lifetime suicidal behaviour, 33.8% had lifetime suicide ideation without attempts, and 17.1% had a single and 27.5% repeated suicide attempts. In univariate analyses, lifetime suicidal behaviour was associated with numerous factors. In multivariate models, suicidal ideation was independently predicted by younger age, severe depressive disorder, bipolar disorder type II/nos, hopelessness, and childhood physical abuse. Repeated suicide attempts were independently predicted by younger age, female sex, severe depressive disorder with or without psychotic symptoms, bipolar disorder type II/nos, alcohol use disorder, borderline personality disorder traits, and childhood physical abuse. Limitations Cross-sectional and retrospective study design, utilization of clinical diagnoses, and relatively low response rate. Conclusions Risk factors for suicidal ideation and attempts may diverge both qualitatively and in terms of dose response. When effects of risk factors from multiple domains are concurrently examined, proximal clinical characteristics remain the most robust. All risk factors cluster into the group of repeated attempters.
Editor: Netherlands: Elsevier B.V
Idioma: Inglês

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Differences and similarities of risk factors for suicidal ideation and attempts among patients with depressive or bipolar disorders

Aaltonen, Kari ; Näätänen, Petri ; Heikkinen, Martti ; Koivisto, Maaria ; Baryshnikov, Ilya ; Karpov, Boris ; Oksanen, Jorma ; Melartin, Tarja ; Suominen, Kirsi ; Joffe, Grigori ; Paunio, Tiina ; Isometsä, Erkki

Netherlands: Elsevier B.V

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