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Psychiatria Danubina, Vol. 34 No. 4, 2022.

Original scientific paper

https://doi.org/10.24869/psyd.2022.706

THE EFFECT OF EMOTIONAL DYSREGULATION AND IMPULSIVITY ON SUICIDALITY IN PATIENTS WITH BIPOLAR DISORDER

Filiz Kulacaoglu orcid id orcid.org/0000-0001-9800-4971 ; Health Sciences University Prof. Dr. Mazhar Osman Bakirkoy Research and Training Hospital for Psychiatry and Neurological Diseases, Department of Psychiatry, Istanbul, Turkey
Filiz Izci orcid id orcid.org/0000-0003-0576-9487 ; Health Sciences University Erenkoy Research and Training Hospital for Psychiatry and Neurological Diseases, Department of Psychiatry, Istanbul, Turkey

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Abstract

Background: We aimed to evaluate the effect of emotional dysregulation and impulsivity on suicidality in patients with bipolar
disorder by comparing patients with bipolar disorder with healthy individuals.
Subjects and methods: The study included 85 patients (59 women, 26 men) with bipolar disorder and education and agematched
65 (44 women, 21 men) healthy volunteers. The patient group was separated into 3 different groups if they have a suicide
attempt history, or have suicidal ideation without attempt, or have neither suicide attempt nor ideation. Sociodemographic Form,
The Difficulties in Emotion Regulation Scale (DERS), Barratt Impulsivity Scale (BIS-11), Scale for Suicidal Ideation, Suicide
Behaviors Questionnaire scales were applied to the participants.
Results: Patients with bipolar disorder (n=85) had significantly higher scores for emotion dysregulation and impulsivity than the
healthy controls (p<0.001, p<0.001). The scores of DERS, BIS-11, Suicidal ideation, and Suicide behavior scores were significantly
correlated. DERS Total and BIS Total scores of bipolar patients with suicide attempts were significantly higher than bipolar patients
with suicidal ideation and bipolar patients with neither attempt nor ideation. According to the hierarchical regression analysis,
strategies, clarity, and non-planning impulsiveness were found as the predictors of suicidal ideation in bipolar patients.
Conclusions: Suicidal behavior has a significant relationship between emotional dysregulation and impulsivity in patients with
BD. Clinicians must carefully evaluate emotional dysregulation and impulsivity among this population to develop treatment
strategies in suicide prevention.

Keywords

emotional dysregulation; impulsivity; bipolar disorder; suicide

Hrčak ID:

291848

URI

https://hrcak.srce.hr/291848

Publication date:

22.12.2022.

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