The Impact of Complex PTSD on Suicide Risk in Patients with Bipolar Disorder: A Cross-Sectional Study
Background: Patients with bipolar disorder (BD) are more likely than the general population to experience traumatic events, particularly during childhood, and these may predict and be a risk factor for the development of complex PTSD (cPTSD). The presence of multiple traumas plays a relevant role fr...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-01-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/13/3/673 |
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| author | Anna Maria Iazzolino Marta Valenza Martina D’Angelo Grazia Longobardi Valeria Di Stefano Giulia Visalli Luca Steardo Caterina Scuderi Luca Steardo |
| author_facet | Anna Maria Iazzolino Marta Valenza Martina D’Angelo Grazia Longobardi Valeria Di Stefano Giulia Visalli Luca Steardo Caterina Scuderi Luca Steardo |
| author_sort | Anna Maria Iazzolino |
| collection | DOAJ |
| description | Background: Patients with bipolar disorder (BD) are more likely than the general population to experience traumatic events, particularly during childhood, and these may predict and be a risk factor for the development of complex PTSD (cPTSD). The presence of multiple traumas plays a relevant role from a psychopathological point of view, but little is known about the effect this may have on suicide attempts in patients with BD. Methods: A cross-sectional study was conducted comparing socio-demographic and clinical characteristics, recruiting 344 patients diagnosed with BD I and II, screened for the presence (or absence) of cPTSD using the International Trauma Questionnaire (ITQ). Suicide attempts were assessed directly during the clinical interview and from the patient’s medical record. Results: The results emerging from the study indicate that cPTSD can be considered a risk factor for suicide attempts in patients with BD. Furthermore, evidence is provided to support the idea that cPTSD is highly prevalent in patients with BD and is related to a higher psychopathological burden. Conclusions: The results recommend an urgent and comprehensive assessment of suicidal risk in patients with comorbidity of both bipolar disorder and cPTSD. There is a crucial demand for early intervention initiatives and proactive prevention strategies to address the intricate intersection of these mental health challenges. |
| first_indexed | 2024-03-08T03:54:18Z |
| format | Article |
| id | doaj.art-12e26c7a64784dec97074830f59f8839 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-08T03:54:18Z |
| publishDate | 2024-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-12e26c7a64784dec97074830f59f88392024-02-09T15:15:32ZengMDPI AGJournal of Clinical Medicine2077-03832024-01-0113367310.3390/jcm13030673The Impact of Complex PTSD on Suicide Risk in Patients with Bipolar Disorder: A Cross-Sectional StudyAnna Maria Iazzolino0Marta Valenza1Martina D’Angelo2Grazia Longobardi3Valeria Di Stefano4Giulia Visalli5Luca Steardo6Caterina Scuderi7Luca Steardo8Psychiatry Unit, Department of Health Sciences, University of Catanzaro Magna Graecia, 88100 Catanzaro, ItalyDepartment of Physiology and Pharmacology “Vittorio Erspamer”, Sapienza University of Rome, 00185 Rome, ItalyPsychiatry Unit, Department of Health Sciences, University of Catanzaro Magna Graecia, 88100 Catanzaro, ItalyPsychiatry Unit, Department of Health Sciences, University of Catanzaro Magna Graecia, 88100 Catanzaro, ItalyPsychiatry Unit, Department of Health Sciences, University of Catanzaro Magna Graecia, 88100 Catanzaro, ItalyPsychiatry Unit, Department of Health Sciences, University of Catanzaro Magna Graecia, 88100 Catanzaro, ItalyDepartment of Physiology and Pharmacology “Vittorio Erspamer”, Sapienza University of Rome, 00185 Rome, ItalyDepartment of Physiology and Pharmacology “Vittorio Erspamer”, Sapienza University of Rome, 00185 Rome, ItalyPsychiatry Unit, Department of Health Sciences, University of Catanzaro Magna Graecia, 88100 Catanzaro, ItalyBackground: Patients with bipolar disorder (BD) are more likely than the general population to experience traumatic events, particularly during childhood, and these may predict and be a risk factor for the development of complex PTSD (cPTSD). The presence of multiple traumas plays a relevant role from a psychopathological point of view, but little is known about the effect this may have on suicide attempts in patients with BD. Methods: A cross-sectional study was conducted comparing socio-demographic and clinical characteristics, recruiting 344 patients diagnosed with BD I and II, screened for the presence (or absence) of cPTSD using the International Trauma Questionnaire (ITQ). Suicide attempts were assessed directly during the clinical interview and from the patient’s medical record. Results: The results emerging from the study indicate that cPTSD can be considered a risk factor for suicide attempts in patients with BD. Furthermore, evidence is provided to support the idea that cPTSD is highly prevalent in patients with BD and is related to a higher psychopathological burden. Conclusions: The results recommend an urgent and comprehensive assessment of suicidal risk in patients with comorbidity of both bipolar disorder and cPTSD. There is a crucial demand for early intervention initiatives and proactive prevention strategies to address the intricate intersection of these mental health challenges.https://www.mdpi.com/2077-0383/13/3/673suicidecPTSDtraumabipolar disorder |
| spellingShingle | Anna Maria Iazzolino Marta Valenza Martina D’Angelo Grazia Longobardi Valeria Di Stefano Giulia Visalli Luca Steardo Caterina Scuderi Luca Steardo The Impact of Complex PTSD on Suicide Risk in Patients with Bipolar Disorder: A Cross-Sectional Study Journal of Clinical Medicine suicide cPTSD trauma bipolar disorder |
| title | The Impact of Complex PTSD on Suicide Risk in Patients with Bipolar Disorder: A Cross-Sectional Study |
| title_full | The Impact of Complex PTSD on Suicide Risk in Patients with Bipolar Disorder: A Cross-Sectional Study |
| title_fullStr | The Impact of Complex PTSD on Suicide Risk in Patients with Bipolar Disorder: A Cross-Sectional Study |
| title_full_unstemmed | The Impact of Complex PTSD on Suicide Risk in Patients with Bipolar Disorder: A Cross-Sectional Study |
| title_short | The Impact of Complex PTSD on Suicide Risk in Patients with Bipolar Disorder: A Cross-Sectional Study |
| title_sort | impact of complex ptsd on suicide risk in patients with bipolar disorder a cross sectional study |
| topic | suicide cPTSD trauma bipolar disorder |
| url | https://www.mdpi.com/2077-0383/13/3/673 |
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