TY - JOUR PY - 2018// TI - Mediators in the association between affective temperaments and suicide risk among psychiatric inpatients JO - Psychiatry interpersonal and biological processes A1 - Erbuto, Denise A1 - Innamorati, Marco A1 - Lamis, Dorian A. A1 - Berardelli, Isabella A1 - Forte, Alberto A1 - De Pisa, Eleonora A1 - Migliorati, Monica A1 - Serafini, Gianluca A1 - Gonda, Xenia A1 - Rihmer, Zoltan A1 - Fiorillo, Andrea A1 - Amore, Mario A1 - Girardi, Paolo A1 - Pompili, Maurizio SP - 240 EP - 257 VL - 81 IS - 3 N2 - BACKGROUND: Affective temperaments have been shown to be related to psychiatric disorders and suicidal behaviors. Less is known about the potential contributory role of affective temperaments on suicide risk factors. In the present study, we investigated whether the effect of affective temperaments on suicide risk was mediated by other variables, such as hopelessness, mentalization deficits, dissociation, psychological pain, and depressive symptoms.

METHODS: Several assessment instruments, including the Mini International Neuropsychiatric Interview (MINI); the Temperament Evaluation of Memphis, Pisa, and San Diego Autoquestionnaire (TEMPS-A); the Beck Hopelessness Scale (BHS); the Gotland Male Depression Scale (GMDS); the Dissociative Experiences Scale (DES); the Psychological Pain Assessment Scale (PPAS); and the Mentalization Questionnaire (MZQ), were administered to 189 psychiatrically hospitalized patients (103 women, 86 men) in Rome, Italy.

RESULTS: In single-mediator models, hopelessness, depressive symptoms, and mentalization, but not psychological pain or dissociation, were significant mediators in the association between prevalent temperament and suicide risk. In a multiple-mediator model, a significant indirect effect was found only for depression.

RESULTS demonstrated that patients with negative temperaments reported higher suicide risk, psychological pain, hopelessness, and depression, and less mentalization than patients with no prevalent temperament or hyperthymic temperaments.

CONCLUSIONS: Hopelessness, depression, and mentalization are all factors that mediate the relation between affective temperaments and suicide risk. Identifying factors that mediate the effects of affective temperamental makeup on suicide risk should enhance screening and intervention efforts.

Language: en

LA - en SN - 0033-2747 UR - http://dx.doi.org/10.1080/00332747.2018.1480251 ID - ref1 ER -