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The Correlation Between Suicide Risk and Emotion Regulation Strategies in Patients With Bipolar Disorder: A
Sedef Tonaydin1, Sibel Polat Olca2
1Bakırköy Prof. Dr. Mazhar Osman Psychiatric and Neurological Diseases Training and Research Hospital, İstanbul, Türkiye.
Journal of Psychiatric and Mental Health Nursing
|September 19, 2025
Summary
Patients with bipolar disorder exhibit a high suicide risk, particularly those nearing discharge. Improving emotional regulation strategies like cognitive reappraisal and suppression is crucial for suicide prevention in this population.
Area of Science:
- Psychiatry and Psychology
- Mental Health Research
Background:
- Emotional dysregulation is a significant risk factor for suicide in psychiatric patients.
- Bipolar disorder is associated with increased suicide risk.
Purpose of the Study:
- To investigate the relationship between emotional regulation strategies (cognitive reappraisal and suppression) and suicide risk in bipolar disorder patients.
- To assess the correlation between specific emotional regulation techniques and suicidal ideation.
Main Methods:
- Cross-sectional, descriptive, and correlational study design.
- Inclusion of 100 patients with bipolar disorder.
- Utilized Suicide Probability Scale (SPS), Emotional Regulation Questionnaire (ERQ), Young Mania Rating Scale (YMRS), and Beck Depression Inventory (BDI).
Main Results:
- Participants scored higher on reappraisal (26.84±5.8) than suppression (14.22±3.65) on the ERQ.
- The mean suicide probability score (SPS) was 90.84±5.5.
- Individuals who attempted suicide had higher mean scores on the suppression subscale of the ERQ compared to those who did not.
Conclusions:
- Hospitalized patients with euthymic bipolar disorder at the discharge stage face a high suicide risk.
- Interventions aimed at enhancing emotional regulation strategies are vital for suicide risk management.
- Mental health nurses should prioritize implementing clinical procedures to improve emotional regulation and prevent suicide.
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