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 -