TY  - JOUR
PY  - 2017//
TI  - Suicide attempts in bipolar I patients: impact of comorbid personality disorders
JO  - Revista brasileira de psiquiatria
A1  - Bezerra, Severino
A1  - Galvão-de-Almeida, Amanda
A1  - Studart, Paula
A1  - Martins, Davi F.
A1  - Caribé, André C.
A1  - Schwingel, Paulo A.
A1  - Miranda-Scippa, Angela
SP  - 133
EP  - 139
VL  - 39
IS  - 2
N2  - 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>
LA  - en
SN  - 1516-4446
UR  - http://dx.doi.org/10.1590/1516-4446-2016-1982
ID  - ref1
ER  -