Citation

Isometsä E, Valtonen H, Suominen K, Mantere O, Leppamaki S, Arvilommi P. Psychiatr. Danub. 2006; 18(Suppl 1): 46.

Affiliation

National Public Health Institute, Department of Mental Health and Alcohol Research, Mannenheimintie166, 00300 Helsinki, Finland. erkki.isometsa@ktl.fi.

Copyright

(Copyright © 2006, Facultas Universitatis Studiorum Zagrabiensis - Danube Symposion of Psychiatry)

DOI

unavailable

PMID

16963918

Abstract

There are few prospective studies on risk factors for attempted suicide among representative samples of psychiatric patients with bipolar disorders. Methods: In the Jorvi Bipolar Study (JoBS), 1630 psychiatric in- and outpatients of three Finnish cities were screened with the Mood Disorder Questionnaire (MDQ). Using SCID-I/P interviews, 191 patients were diagnosed with bipolar disorders (90 bipolar I, 101 bipolar II). Information on suicide attempts during the follow-up was obtained for 176 patients (92%) at the six-month and for 161 patients (84%) at the 18-month follow-up. Results: During the 18-month follow-up 20% of patients (35/176) attempted suicide. In Cox regression model, baseline previous suicide attempts (OR 3.8, 95% c.l. 1.7 to 8.8; p=0.001), hopelessness (OR 1.2, 95% c.l. 1.1 to 1.3; p<0.001), depressive phase at index episode (OR 2.4, 95% c.l. 1.1 to 5.3; p=0.03) and younger age (OR 0.94, 95% c.l. 0.91 to 0.97; p< 0.001) were independent risk factors for suicide attempts. Conclusions: During a medium-term follow-up as many as one fifth of psychiatric patients with bipolar disorder attempted suicide, which highlights the public health importance of suicidal behavior in bipolar disorder. Previous suicide attempts, hopelessness and depressive phase were the key indicators of risk.

Language: en