[Evaluation of risk factors coexistence for suicidal behavior with features of bipolarity in patients with depressive...

Suicide being a deliberate act of depriving one-self of life is a complex phenomenon, which occurs as a result of the interaction between biological, genetic, psychological, sociological and environmental factors. More and more studies have provided evidence that subthreshold states of BP II (bipolar disorder type II) may increase the risk of suicidal behavior. The aim of the present study was to evaluate relationship of suicidal behavior and bipolarity features according to MDQ (Mood Disorder Questionnaire) and HCL-32 (Hypomania Check List-32) questionnaires in recurrent depressive disorder.

The study covered 61 subjects with diagnosis of recurrent depression. HDRS (Hamilton Depression Rating Scale), MDQ and HCL-32 rating scales have been employed. Self-developed questionnaires concerning social and personal history as well as risk factors for suicidal behavior have also been used.

In the case of majority of suicidal risk factors no statistically significant coexistence with bipolarity according to MDQ as well as HCL-32 questionnaires was observed. Only such suicide risk factors as making one's last will, psychoactive substances abuse and family history of suicide were statistically more frequent in depressive patients with bipolarity features according to MDQ compared to those depressives without bipolarity.

The results of present study doesn't allow to prove the usefulness of MDQ and HCL-32 questionnaires in rating suicide risk.