@article{ref1,
title="Factors associated with single versus multiple suicide attempts in depressive disorders",
journal="Journal of affective disorders",
year="2020",
author="Tondo, Leonardo and Baldessarini, Ross J. and Barbuti, Margherita and Colombini, Paola and Angst, Jules and Azorin, Jean-Michel and Bowden, Charles L. and Mosolov, Sergey and Young, Allan H. and Vieta, Eduard and Perugi, Giulio",
volume="277",
number="",
pages="306-312",
abstract="BACKGROUND: Many risk factors for suicidal behavior have been identified. Much less has been done to associate risk factors with recurrence of suicidal behavior.   METHODS: We compared prevalence of 30 potential risk factors among 8496 depressive patient-subjects from the BRIDGE consortium with no (NSA, n = 6267), one (1SA, n = 1123), or repeated (≥2) suicide attempts (RSA, n = 1106).   RESULTS: Prevalence of most factors ranked: RSA ≥ 1SA > NSA, with a notable opposite trend for the diagnosis of type II bipolar disorder (BD). Factors independently and significantly more present among RSA than 1SA subjects were: borderline personality, substance abuse, mood-switching with antidepressant treatment, female sex, and unsatisfactory response to antidepressant treatment. There also were notably strong associations of RSA with type I or probable BD and associated factors, including family history of BD, young onset, mixed and psychotic features.   LIMITATIONS: Potential effects of treatment on risk of suicidal acts could not be evaluated adequately, as well as associations between levels of suicidal behavior and eventual death by suicide.   CONCLUSIONS: In a large cohort of depressive patients, there were significant associations not only with suicidal behavior generally, but also with the intensity of suicide attempts.<p /> <p>Language: en</p>",
language="en",
issn="0165-0327",
doi="10.1016/j.jad.2020.08.021",
url="http://dx.doi.org/10.1016/j.jad.2020.08.021"
}