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Correlation Between Insight Level and Suicidal Behavior/Ideation in Bipolar Depression
Rafael de Assis da Silva1,2, Daniel C Mograbi3,4, Jaqueline Bifano5
1Universidade Federal do Estado do Rio de Janeiro (UNIRIO), Rua Largo do Machado, 29/411, Catete, Rio de Janeiro, RJ, Brazil. rafaelpsiq@gmail.com.
The Psychiatric Quarterly
|March 26, 2016
Summary
Individuals with bipolar depression and a history of suicide attempts often have poorer insight. Current suicidal thoughts, however, showed no link to insight levels in this study.
Area of Science:
- Psychiatry
- Clinical Psychology
Background:
- Suicide is a significant concern in bipolar disorder.
- Previous research suggests a link between suicide and insight in schizophrenia, but less is known for mood disorders.
Purpose of the Study:
- To investigate the relationship between insight and suicidal ideation or behavior in patients experiencing bipolar depression.
Main Methods:
- A one-year prospective study of 165 bipolar patients.
- Mood assessed per DSM-IV-TR criteria.
- Suicidal ideation/behavior measured using HAM-D item 3.
- Insight evaluated with the Insight Scale for Affective Disorders.
Main Results:
- A history of suicide attempts was significantly associated with worse insight in bipolar depression patients.
- This association persisted even after controlling for depressive symptoms.
- No correlation was found between current suicidal ideation and insight levels.
Conclusions:
- A history of suicide attempts may indicate impaired insight in bipolar depression.
- Current suicidal ideation does not appear to be related to insight in this population.
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