Affective Temperaments and Suicidality in Patients with Bipolar Disorder

Suicide is one of the leading causes of death in patients with Bipolar Disorder (BD). Several risk factors linked to suicide attempts in patients with BD have been identified, including a long duration of illness, untreated BD, female sex, positive history for suicide attempts, comorbidity with subs...

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Main Author: M. Luciano
Format: Article
Language:English
Published: Cambridge University Press 2022-06-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933822001407/type/journal_article
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author M. Luciano
author_facet M. Luciano
author_sort M. Luciano
collection DOAJ
description Suicide is one of the leading causes of death in patients with Bipolar Disorder (BD). Several risk factors linked to suicide attempts in patients with BD have been identified, including a long duration of illness, untreated BD, female sex, positive history for suicide attempts, comorbidity with substance abuse or personality disorders, anxiety, depressive polarity and recent psychiatric inpatient care. Recently affective temperaments have been considered as possible factors for suicide in BD. While hyperthymic temperament is associated with a reduced risk of suicide attempts, cyclothymic, irritable, depressive and anxious temperaments are more represented in patients with a positive history of suicide attempts. Moreover, cyclothymic and irritable temperaments are highly connected with both aggression and impulsivity, which play a role in suicidal behaviours. Despite this evidence, the predictive role of affective temperaments on suicide behaviours is still poorly studied. In this contribution, we will report results of a study aiming at assessing the relationship between affective temperaments and personal history of violent suicide attempts, in 74 patients with BD. Violent suicide attempts were positively associated with cyclothymic temperament and inversely to hyperthymic one. BD-I patients and patients with a clinical history of rapid cycling were significantly more represented in the group of patients with a history of violent suicide attempts. Our results suggest the role of affective temperaments in the suicidality of patients with BD.
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spelling doaj.art-64af503d74264ffe83085533988435da2023-11-17T05:05:26ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S40S4110.1192/j.eurpsy.2022.140Affective Temperaments and Suicidality in Patients with Bipolar DisorderM. Luciano0University of Campania “Luigi Vanvitelli”, Department Of Psychiatry, Naples, ItalySuicide is one of the leading causes of death in patients with Bipolar Disorder (BD). Several risk factors linked to suicide attempts in patients with BD have been identified, including a long duration of illness, untreated BD, female sex, positive history for suicide attempts, comorbidity with substance abuse or personality disorders, anxiety, depressive polarity and recent psychiatric inpatient care. Recently affective temperaments have been considered as possible factors for suicide in BD. While hyperthymic temperament is associated with a reduced risk of suicide attempts, cyclothymic, irritable, depressive and anxious temperaments are more represented in patients with a positive history of suicide attempts. Moreover, cyclothymic and irritable temperaments are highly connected with both aggression and impulsivity, which play a role in suicidal behaviours. Despite this evidence, the predictive role of affective temperaments on suicide behaviours is still poorly studied. In this contribution, we will report results of a study aiming at assessing the relationship between affective temperaments and personal history of violent suicide attempts, in 74 patients with BD. Violent suicide attempts were positively associated with cyclothymic temperament and inversely to hyperthymic one. BD-I patients and patients with a clinical history of rapid cycling were significantly more represented in the group of patients with a history of violent suicide attempts. Our results suggest the role of affective temperaments in the suicidality of patients with BD.https://www.cambridge.org/core/product/identifier/S0924933822001407/type/journal_articleaffective temperamentBIPOLARviolent suicideSuicide
spellingShingle M. Luciano
Affective Temperaments and Suicidality in Patients with Bipolar Disorder
European Psychiatry
affective temperament
BIPOLAR
violent suicide
Suicide
title Affective Temperaments and Suicidality in Patients with Bipolar Disorder
title_full Affective Temperaments and Suicidality in Patients with Bipolar Disorder
title_fullStr Affective Temperaments and Suicidality in Patients with Bipolar Disorder
title_full_unstemmed Affective Temperaments and Suicidality in Patients with Bipolar Disorder
title_short Affective Temperaments and Suicidality in Patients with Bipolar Disorder
title_sort affective temperaments and suicidality in patients with bipolar disorder
topic affective temperament
BIPOLAR
violent suicide
Suicide
url https://www.cambridge.org/core/product/identifier/S0924933822001407/type/journal_article
work_keys_str_mv AT mluciano affectivetemperamentsandsuicidalityinpatientswithbipolardisorder