Suicide risk in bipolar patients: the role of co-morbid substance use disorders.

Abstract:

OBJECTIVE:Bipolar disorder is associated with a high frequency of both completed suicides and suicide attempts. The primary aim of this study was to identify clinical predictors of suicide attempts in subjects with bipolar disorder. METHODS:We studied 336 subjects with a diagnosis of bipolar I, bipolar II, or schizoaffective disorder (bipolar type). The Structured Clinical Interview for DSM-IV (SCID-I) was administered and subsequently two expert psychiatrists established a diagnosis. Predictors of suicide attempts were examined in attempters and non-attempters. RESULTS:The lifetime rate of suicide attempts for the entire sample was 25.6%. A lifetime co-morbid substance use disorder was a significant predictor of suicide attempts: bipolar subjects with co-morbid substance use disorders (SUD) had a 39.5% lifetime rate of attempted suicide, while those without had a 23.8% rate (odds ratio = 2.09, 95% CI = 1.03-4.21, chi2 = 4.33, df = 1, p = 0.037). CONCLUSIONS:Lifetime co-morbid SUD were associated with a higher rate of suicide attempts in patients with bipolar disorder. This relationship may have a genetic origin and/or be explained by severity of illness and trait impulsivity.

journal_name

Bipolar Disord

journal_title

Bipolar disorders

authors

Dalton EJ,Cate-Carter TD,Mundo E,Parikh SV,Kennedy JL

doi

10.1034/j.1399-5618.2003.00017.x

keywords:

subject

Has Abstract

pub_date

2003-02-01 00:00:00

pages

58-61

issue

1

eissn

1398-5647

issn

1399-5618

pii

017

journal_volume

5

pub_type

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