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Related Experiment Videos

Suicidal behavior in patients with adjustment disorders.

L Kryzhanovskaya1, R Canterbury

  • 1Department of Psychiatric Medicine, School of Medicine, University of Virginia, Charlottesville, USA. lak8n@virginia.edu

Crisis
|February 8, 2002
PubMed
Summary

Patients with adjustment disorders frequently exhibit suicidal behavior, including past attempts and high rates of suicidality during hospitalization. Axis II diagnoses significantly increase the risk for further suicidal actions.

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Area of Science:

  • Psychiatry
  • Mental Health Research

Background:

  • Adjustment disorders are common diagnoses.
  • Suicidal behavior associated with adjustment disorders requires further characterization.

Purpose of the Study:

  • To characterize suicidal behavior in patients diagnosed with Axis I adjustment disorders.
  • To identify risk factors for suicidal behavior in this population.

Main Methods:

  • Retrospective study of 119 patients with Axis I adjustment disorders.
  • Data collected from psychiatric assessments at the University of Virginia Hospital.

Main Results:

  • 60.5% of patients had prior suicide attempts; 96% were suicidal during admission.
  • Overdosing was the most common suicide attempt method.

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  • Axis II diagnoses (borderline personality disorder, antisocial personality disorder) were present in 67% of those with past attempts.

    • Conclusions:

    • Adjustment disorder with suicidal behavior is linked to high admission suicidality, involuntary hospitalization, and substance use disorders.
    • Axis II diagnoses are significant risk factors for continued suicidal behavior in patients with adjustment disorders.
    • Further prospective studies are needed to validate these findings.