Citation

Janiri D, de Rossi P, Kotzalidis GD, Girardi P, Koukopoulos AE, Reginaldi D, Dotto F, Manfredi G, Jollant F, Gorwood P, Pompili M, Sani G. Eur. Psychiatry 2018; 53: 31-36.

Affiliation

School of Medicine and Psychology, NESMOS Department (Neuroscience, Mental Health and Sensory Organs) Sapienza University, Sant'Andrea Hospital, Via di Grottarossa 1035-1038, 00189, Rome, Italy; Centro Lucio Bini-Aretæus, via Crescenzio 42, 00193 Rome, Italy. Electronic address: gabriele.sani@uniroma1.it.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/j.eurpsy.2018.05.009

PMID

29879623

Abstract

BACKGROUND: Depression is an important risk factor for suicide. However, other dimensions may contribute to the suicidal risk and to the transition from ideas to acts. We aimed to test the relative involvement of hopelessness, temperament, childhood trauma, and aggression in suicide risk in a large sample of patients with mood disorders.

METHODS: We assessed 306 patients with major depressive and bipolar disorders for clinical characteristics including hopelessness, temperament, childhood trauma, and aggression. We tested their associations with suicidal ideation and acts using standard univariate/bivariate methods, followed by multivariate logistic regression models.

RESULTS: In multivariate analyses, the loss of expectations subscore of the hopelessness scale was associated with lifetime suicidal ideation but not suicide attempt. Childhood emotional abuse, severity of current depression, and female gender were associated with lifetime suicide attempts, whereas hyperthymic temperament was protective. Only hyperthymic temperament differentiated patients with a history of suicidal ideas vs. those with a history of suicide attempt.

CONCLUSIONS: Findings support the association of hopelessness with suicidal ideation and point to considering in suicidal acts not only depression, but also childhood emotional abuse, hyperthymic temperament, and gender.

Copyright © 2018. Published by Elsevier Masson SAS.

Language: en

Keywords

Affective temperaments; Childhood trauma; Depression; Emotional abuse; Mood disorders; Suicidal ideation; Suicide attempts