TY - JOUR PY - 2020// TI - Factors associated with single versus multiple suicide attempts in depressive disorders JO - Journal of affective disorders A1 - Tondo, Leonardo A1 - Baldessarini, Ross J. A1 - Barbuti, Margherita A1 - Colombini, Paola A1 - Angst, Jules A1 - Azorin, Jean-Michel A1 - Bowden, Charles L. A1 - Mosolov, Sergey A1 - Young, Allan H. A1 - Vieta, Eduard A1 - Perugi, Giulio SP - 306 EP - 312 VL - 277 IS - N2 - 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.
Language: en
LA - en SN - 0165-0327 UR - http://dx.doi.org/10.1016/j.jad.2020.08.021 ID - ref1 ER -