TY - JOUR PY - 2022// TI - Factors associated with lifetime suicide attempts: findings from the bipolar disorder course and outcome study from India (BiD-CoIN study) JO - Nordic journal of psychiatry A1 - Grover, Sandeep A1 - Avasthi, Ajit A1 - Chakravarty, Rahul A1 - Dan, Amitava A1 - Chakraborty, Kaustav A1 - Neogi, Rajarshi A1 - Desouza, Avinash A1 - Nayak, Omkar A1 - Praharaj, Samir Kumar A1 - Menon, Vikas A1 - Deep, Raman A1 - Bathla, Manish A1 - Subramanyam, Alka A. A1 - Nebhinani, Naresh A1 - Ghosh, Prosenjit A1 - Lakdawala, Bhavesh A1 - Bhattacharya, Ranjan SP - ePub EP - ePub VL - ePub IS - ePub N2 - AIM: To evaluate the risk factors associated with lifetime suicide attempts in bipolar disorder (BD) patients.

METHODOLOGY: 773 BD patients with a duration of illness of at least ten years, currently in clinical remission, were evaluated for suicidal attempts in their lifetime. Those with and without lifetime suicide attempt(s) were compared for various demographic and clinical risk factors.

RESULTS: 242 (31.3%) patients had a history of at least one lifetime suicide attempt. Compared to those without lifetime suicide attempts, those with suicidal attempts were less educated, were more often females, spent more time in episodes, and had a significantly more number of total episodes (in the lifetime, first five years of illness, and per year of illness), had significantly more number of total depressive episodes (in the lifetime, first five years of illness, and per year of illness), spent more time in depressive episodes, had more severe depressive episodes, more often had depression as the first episode in the lifetime, spent more time in mania/hypomania/mixed episodes, had higher residual depressive and manic symptoms, more often had rapid cycling affective disorder pattern in the lifetime, use of cannabis in dependence pattern, had poorer insight into their illness and had a higher level of disability (especially in three out of the four domains of Indian disability evaluation assessment scale).

CONCLUSIONS: About one-third of the patients with BD have at least one-lifetime suicidal attempt, and those with suicide attempts usually have a poorer course of illness.

Language: en

LA - en SN - 0803-9488 UR - http://dx.doi.org/10.1080/08039488.2022.2083231 ID - ref1 ER -