Citation

Rihmer A, Rihmer Z, Jekkel, Kárteszi M, Csiszér N, Farkas A. Int. J. Psychiatry Clin. Prac. 2006; 10(1): 69-72.

Copyright

(Copyright © 2006, Informa - Taylor and Francis Group)

DOI

10.1080/13651500500443365

PMID

unavailable

Abstract

Background. Previous international and Hungarian studies have shown that around 90% of persons making suicide attempts had at least one current mental disorder. The aim of this study was to investigate the current prevalence of DSM-IV Axis I psychiatric diagnoses among nonviolent suicide attempters in Budapest, Hungary.

METHODS. Using a structured interview (Mini International Neuropsychiatric Interview) determining DSM-IV Axis I diagnoses, the authors examined 100 consecutively contacted nonviolent suicide attempters (68 females and 32 males), aged between 14 and 66 (mean: 36.3 years).

RESULTS. A total of 64% of the subjects were repeated attempters, and the most common method was drug overdose (96%), in 21% of cases in combination with alcohol ingestion. A total of 92% of the attempters had at least one current DSM-IV Axis I psychiatric diagnosis. In 87% it was depressive disorder (59% unipolar major depression, 14% bipolar II depression and 12% bipolar I depression, 2% dysthymic disorder), in 46% anxiety disorders, in 27% substance-use disorder and in 2% psychotic disorder. Sixty percent of the attempters received two or more current Axis I diagnoses (35% depressive+ anxiety disorder only, 15% depressive+ substance-related disorder only, and 10% depressive+ anxiety+ substance-related disorder). Limitations. Nonviolent suicide attempters are not representative of all persons with attempted suicide and subthreshold Axis I diagnoses were not investigated.

CONCLUSION. This study supports previous international and Hungarian findings on the high prevalence and comorbidity of Axis I mental disorders among persons with recent nonviolent suicide attempt. © 2006 Taylor & Francis.

Language: en

Keywords

adolescent; adult; human; violence; suicide; female; male; alcohol; Comorbidity; aged; Hungary; depression; prevalence; psychosis; suicide attempt; major depression; comorbidity; drug overdose; alcohol intoxication; substance abuse; article; major clinical study; mental disease; controlled study; dysthymia; clinical feature; priority journal; anxiety disorder; psychiatric diagnosis; bipolar I disorder; bipolar II disorder; diagnostic and statistical manual of mental disorders; structured interview; Axis I diagnoses; Drug-overdose; mixed anxiety and depression; Nonviolent suicide attempt