TY - JOUR PY - 2010// TI - An Exploratory Study of the Relationship between Diverse Life Events and Specific Personality Disorders in a Sample of Suicide Attempters JO - Journal of personality disorders A1 - Blasco-Fontecilla, Hilario A1 - Baca-Garcia, Enrique A1 - Duberstein, Paul A1 - Pérez-Rodríguez, Maria de Las Mercedes A1 - Dervic, Kanita A1 - Saiz-Ruiz, Jeronimo A1 - Courtet, Philippe A1 - De Leon, Jose A1 - Oquendo, Maria A. SP - 773 EP - 784 VL - 24 IS - 6 N2 - Personality disorder (PD) increases risk for suicidal behavior. Certain life events (LE) can precipitate suicidal behaviors in patients with PD. A fundamental question is whether specific combinations of LE and PD increase suicidal risk. Four hundred forty-six suicide attempters (SA) were recruited from emergency rooms. We used a healthy control group (n = 515) to identify the best cut-off point for the instrument used to diagnose PD. We used the DSM-IV version of the International Personality Disorder Questionnaire-Screening Questionnaire, the Mini International Neuropsychiatric Interview, and the Social Adjustment Scale to assess PD, Axis I disorders, and LE, respectively. After controlling for Axis I disorders, we found that "Death of spouse" preceded suicidal acts in those with antisocial PD (FET p = 0.024) and patients with narcissistic PD attempted suicide after being Fired at work (FET p = 0.002), among others. Our data suggest the presence of particular LE-PD associations in suicide attempters. Some LE-PD relationships appear independent of Axis I disorders in suicide attempters. This may offer a basis for specific targeted therapies or prevention programs aimed at decreasing suicidal risk.
Language: en
LA - en SN - 0885-579X UR - http://dx.doi.org/10.1521/pedi.2010.24.6.773 ID - ref1 ER -