Psychiatria Danubina, Vol. 27 No. 3, 2015.
Izvorni znanstveni članak
FACTORS ASSOCIATED WITH SUICIDE ATTEMPTS IN PATIENTS WITH BIPOLAR DISORDER TYPE I
Derya Guliz Mert
; Department of Psychiatry, Cumhuriyet University Faculty of Medicine, Sivas, Turkey
Meral Kelleci
; Department of Psychiatric Nursing, Cumhuriyet University Faculty of Health Sciences, Sivas, Turkey
Ali Mizrak
; Department of Medical Pathology, Erciyes University Faculty of Medicine, Kayseri, Turkey
Murat Semiz
; Department of Psychiatry, GATA, Ankara, Turkey
Meral Oran Demir
; Department of Psychiatry, Osmangazi University Faculty of Medicine, Tokat, Turkey
Sažetak
Background: The aim of this study is to identify the risk factors that are associated with suicide attempts in patients with bipolar
disorder type I.
Subjects and methods: This cross-sectional study was conducted with inpatients and outpatients with BD type I. Patients who
met the study inclusion criteria (n=91) were evaluated in terms of sociodemographic variables, history of childhood trauma,
comorbidity of adult attention deficit hyperactivity disorder and posttraumatic stress disorder, and the course of the disease. The
patients were divided into two groups: those with a history of suicide attempts and those without a history of suicide attempts. The
parameters of the study groups were compared with t and chi-square tests as appropriate. Logistic regression was used to identify
the predictors of suicide attempt.
Results: Logistic regression analysis of the study parameters suggested that the number of major depressive episodes (odds
ratio: 7.18; 95% confidence interval: 1.84-28) and history of emotional neglect (odds ratio: 1.83; 95% confidence interval: 1.15-
2.90) were significant predictors of suicide attempt in patients with BD.
Conclusion: In BD type I patients with a history of suicide attempts, the number of depressive episodes and emotional neglect, a
subtype of childhood traumas, were the most remarkable risk factors. Considering the frequency of depressive episodes during the
course of the disease and assessing traumas including those in childhood may help predict future suicide attempts in patients with BD.
Ključne riječi
bipolar disorder- suicide- childhood trauma- posttraumatic stress disorder
Hrčak ID:
162462
URI
Datum izdavanja:
23.9.2015.
Posjeta: 1.097 *