Temperament, character, and suicide attempts in unipolar and bipolar mood disorders

The Journal of Clinical Psychiatry
Pekka JylhäErkki T Isometsä

Abstract

Personality features may indicate risk for both mood disorders and suicidal acts. How dimensions of temperament and character predispose to suicide attempts remains unclear. Patients (n = 597) from 3 prospective cohort studies (Vantaa Depression Study [VDS], Jorvi Bipolar Study [JoBS], and Vantaa Primary Care Depression Study [PC-VDS]) were interviewed at baseline, at 18 months, and, in VDS and PC-VDS, at 5 years (1997-2003). Personality was measured with the Temperament and Character Inventory-Revised (TCI-R), and follow-up time spent in major depressive episodes (MDEs) as well as lifetime (total) and prospectively ascertained suicide attempts during the follow-up were documented. Overall, 219 patients had 718 lifetime suicide attempts; 88 patients had 242 suicide attempts during the prospective follow-up. The numbers of both the total and prospective suicide attempts were associated with low self-directedness (β = -0.266, P = .004, and β = -0.294, P < .001, respectively) and high self-transcendence (β = 0.287, P = .002, and β = 0.233, P = .002, respectively). Total suicide attempts were linked to high novelty seeking (β = 0.195, P = .05). Prospective, but not total, suicide attempts were associated with high harm avoidance (β...Continue Reading

Citations

Oct 12, 2016·Current Psychiatry Reports·Lucas GinerPhilippe Courtet
Dec 30, 2017·Psychiatry and Clinical Neurosciences·Masanao ShirahamaKentaro Kohno
Jun 14, 2018·Psychological Medicine·Merijn EikelenboomJohannes H Smit
Feb 3, 2021·Journal of Korean Medical Science·Jeong Hun YangYong Min Ahn
Aug 10, 2021·Frontiers in Psychiatry·Przemysław ZakowiczJoanna Pawlak

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bipolar Disorder

Bipolar disorder is characterized by manic and/or depressive episodes and associated with uncommon shifts in mood, activity levels, and energy. Discover the latest research this illness here.