@article{ref1,
title="Suicide attempts in bipolar I patients: impact of comorbid personality disorders",
journal="Revista brasileira de psiquiatria",
year="2017",
author="Bezerra, Severino and Galvão-de-Almeida, Amanda and Studart, Paula and Martins, Davi F. and Caribé, André C. and Schwingel, Paulo A. and Miranda-Scippa, Angela",
volume="39",
number="2",
pages="133-139",
abstract="OBJECTIVE:: To evaluate the association between personality disorders (PDs) and suicide attempts (SAs) in euthymic patients with type I bipolar disorder (BD). <br><br>METHODS:: One-hundred twenty patients with type I BD, with and without history of SA, were evaluated during euthymia. The assessment included a clinical and sociodemographic questionnaire, the Hamilton Depression Rating Scale, the Young Mania Rating Scale, the Barratt Impulsiveness Scale, and Structured Clinical Interviews for DSM-IV Axis I and II Disorders. Logistic regression was employed to determine associations between history of SA and patient characteristics. <br><br>RESULTS:: History of SA was significantly associated with comorbid axis I disorder, rapid cycling, high impulsivity (attentional, motor, non-planning, and total), having any PD, and cluster B and C PDs. Only cluster B PDs, high attentional impulsivity, and lack of paid occupation remained significant after multivariate analysis. <br><br>CONCLUSIONS:: Cluster B PDs were significantly associated with SA in patients with type I BD. High attentional impulsivity and lack of gainful employment were also associated with SA, which suggests that some cluster B clinical and social characteristics may exacerbate suicidal behavior in this population. This finding offers alternatives for new therapeutic interventions.<p /> <p>Language: en</p>",
language="en",
issn="1516-4446",
doi="10.1590/1516-4446-2016-1982",
url="http://dx.doi.org/10.1590/1516-4446-2016-1982"
}