Citation

Oquendo MA, Carballo JJ, Rajouria N, Currier D, Tin A, Merville J, Galfalvy HC, Sher L, Grunebaum MF, Burke AK, Mann JJ. Arch. Suicide Res. 2009; 13(3): 247-256.

Affiliation

Division of Molecular Imaging and Neuropathology, Department of Psychiatry, Columbia University/New York State Psychiatric Institute, New York, NY 10032, USA. mao4@columbia.edu

Copyright

(Copyright © 2009, International Academy of Suicide Research, Publisher Informa - Taylor and Francis Group)

DOI

10.1080/13811110903044385

PMID

19590998

Abstract

Because Bipolar Disorder (BD) individuals making highly lethal suicide attempts have greater injury burden and risk for suicide, early identification is critical. BD patients were classified as high- or low-lethality attempters. High-lethality attempts required inpatient medical treatment. Mixed effects logistic regression models and permutation analyses examined correlations between lethality, number, and order of attempts. High-lethality attempters reported greater suicidal intent and more previous attempts. Multiple attempters showed no pattern of incremental lethality increase with subsequent attempts, but individuals with early high-lethality attempts more often made high-lethality attempts later. A subset of high-lethality attempters make only high-lethality attempts. However, presence of previous low-lethality attempts does not indicate that risk for more lethal, possibly successful, attempts is reduced.

Language: en