TY  - JOUR
PY  - 2005//
TI  - Axis I disorders and personality disorders as risk factors for suicide
JO  - European archives of psychiatry and clinical neuroscience
A1  - Sargk, Dieter
A1  - Wetterling, Tilman
A1  - Schneider, Birke
A1  - Fritze, J.
A1  - Maurer, Konrad
A1  - Schnabel, Axel
A1  - Schneider, F.
SP  - 17
EP  - 27
VL  - 256
IS  - 1
N2  - There is a lack of psychological autopsy studies assessing the influence of axis I disorders on axis II disorders as risk factors for suicide. Therefore, we investigated the association between personality disorders, axis I disorders, and suicide. Psychiatric disorders were evaluated by a semi-structured interview including the Structured Clinical Interview for DSM-IV Axis I (SCID-I) and Personality Disorders (SCID-II) in 163 completed suicides (mean age 49.6 +/- 19.3 years; 64.4% men) and by personal interview in 396 populationbased control persons (mean age 51.6 +/- 17.0 years; 55.8% men). In both genders, suicides significantly more often had personality disorders of all clusters than controls, also after adjustment for axis I disorders (p < 0.001, each). In addition, alcohol-related disorders, major depression, and co-occurrence of personality disorders of more than one cluster (men: OR = 16.13; women: OR = 20.43) remained independent predictors for suicide in both genders,"pure" cluster B personality disorders only in women and "pure" cluster C personality disorders only in men. In both genders, co-occurrence of personality disorders of more than one cluster contributed to risk of completed suicide after control for axis I psychiatric disorders and has to be considered as an independent risk factor for suicide.
LA  - 
SN  - 0940-1334
UR  - http://dx.doi.org/10.1007/s00406-005-0593-7
ID  - ref1
ER  -