TY  - JOUR
PY  - 2016//
TI  - Suicidality in patients with somatoform disorder - the speechless expression of anger?
JO  - Psychiatry research
A1  - Kämpfer, Nora
A1  - Staufenbiel, Sabine
A1  - Wegener, Ingo
A1  - Rambau, Stefanie
A1  - Urbach, Anne Sarah
A1  - Mücke, Martin
A1  - Geiser, Franziska
A1  - Conrad, Rupert
SP  - 485
EP  - 491
VL  - 246
IS  - 
N2  - OBJECTIVE: To identify emotion-associated risk factors for suicidality in patients with somatoform disorders. <br><br>METHODS: A sample of 155 consecutive patients diagnosed with somatoform disorders at the Psychosomatic Ambulance of Bonn University Hospital filled in several questionnaires including the Symptom Checklist 90-Revised Version (SCL-90-R), the Toronto Alexithymia Scale (TAS-20), and the State Trait Anger Expression Inventory (STAXI). Our aim was to compare patients with suicide attempts to patients without suicide attempts via a MANCOVA (IV: Group; DV: SCL-90-R, TAS-20, STAXI; covariates: sex, age, depression, borderline personality disorder). <br><br>RESULTS: Lifetime suicide attempts were documented in 20 patients (12.9%), current active suicidal ideation in 33.6%, and thoughts of death or dying in 55.9%. Patients with lifetime suicide attempts showed significantly more psychological distress, a significantly higher alexithymia sum score, a significantly higher score on trait anger, state anger, and a stronger tendency to express anger. <br><br>CONCLUSION: Somatoform disorder patients with lifetime suicide attempts might have greater difficulties in identifying and describing emotions, and a tendency to intensely experience and express anger. Future longitudinal studies should further investigate possible links between difficulties in coping with anger and suicidality to improve prophylaxis and treatment of suicidal behaviour in somatoform disorder patients.<br><br>Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0165-1781
UR  - http://dx.doi.org/10.1016/j.psychres.2016.10.022
ID  - ref1
ER  -