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- Title
Factors associated with lifetime suicide attempts in bipolar disorder: results from an Italian nationwide study.
- Authors
Buoli, Massimiliano; Cesana, Bruno Mario; Bolognesi, Simone; Fagiolini, Andrea; Albert, Umberto; Di Salvo, Gabriele; Maina, Giuseppe; de Bartolomeis, Andrea; Pompili, Maurizio; Palumbo, Claudia; Bondi, Emi; Steardo Jr, Luca; De Fazio, Pasquale; Amore, Mario; Altamura, Mario; Bellomo, Antonello; Bertolino, Alessandro; Di Nicola, Marco; Di Sciascio, Guido; Fiorillo, Andrea
- Abstract
The purpose of the present study was to detect demographic and clinical factors associated with lifetime suicide attempts in Bipolar Disorder (BD). A total of 1673 bipolar patients from different psychiatric departments were compared according to the lifetime presence of suicide attempts on demographic/clinical variables. Owing to the large number of variables statistically related to the dependent variable (presence of suicide attempts) at the univariate analyses, preliminary multiple logistic regression analyses were realized. A final multivariable logistic regression was then performed, considering the presence of lifetime suicide attempts as the dependent variable and statistically significant demographic/clinical characteristics as independent variables. The final multivariable logistic regression analysis showed that an earlier age at first contact with psychiatric services (odds ratio [OR] = 0.97, p < 0.01), the presence of psychotic symptoms (OR = 1.56, p < 0.01) or hospitalizations (OR = 1.73, p < 0.01) in the last year, the attribution of symptoms to a psychiatric disorder (no versus yes: OR = 0.71, partly versus yes OR = 0.60, p < 0.01), and the administration of psychoeducation in the last year (OR = 1.49, p < 0.01) were all factors associated with lifetime suicide attempts in patients affected by BD. In addition, female patients resulted to have an increased association with life-long suicidal behavior compared to males (OR: 1.02, p < 0.01). Several clinical factors showed complex associations with lifetime suicide attempts in bipolar patients. These patients, therefore, require strict clinical monitoring for their predisposition to a less symptom stabilization. Future research will have to investigate the best management strategies to improve the prognosis of bipolar subjects presenting suicidal behavior.
- Subjects
ATTEMPTED suicide; BIPOLAR disorder; LOGISTIC regression analysis; SUICIDAL behavior; MULTIPLE regression analysis
- Publication
European Archives of Psychiatry & Clinical Neuroscience, 2022, Vol 272, Issue 3, p359
- ISSN
0940-1334
- Publication type
Article
- DOI
10.1007/s00406-021-01343-y