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Features associated with suicide attempts in depression: a partial replication

A Roy

    Journal of Affective Disorders
    |January 1, 1993
    PubMed
    Summary
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    Depression patients with a history of suicide attempts often experience earlier onset of affective disorders and more frequent episodes. Family history of suicide correlates with violent suicide attempts in depressed individuals.

    Area of Science:

    • Psychiatry
    • Clinical Psychology
    • Mood Disorders Research

    Background:

    • Suicide attempts are a significant concern in patients with depressive disorders.
    • Understanding clinical and symptomatic predictors of suicide attempts is crucial for risk assessment and intervention.
    • Heterogeneous groups of depressed patients present varied clinical profiles.

    Purpose of the Study:

    • To investigate the relationship between clinical and symptomatic features and suicide attempts in a diverse cohort of depressed patients.
    • To identify specific patient characteristics associated with a history of suicide attempts.

    Main Methods:

    • Retrospective analysis of clinical data from a heterogeneous group of depressed patients.
    • Examination of demographic, illness history, and symptomatic features.

    Related Experiment Videos

  • Comparison of features between patients with and without a history of suicide attempts.
  • Assessment of family history of suicide.

    • Main Results:

    • Patients who attempted suicide had an earlier age of first affective disorder episode (p<0.001).
    • Suicide attempters experienced significantly more affective disorder episodes (p<0.001).
    • A higher proportion of suicide attempters had bipolar disorder (p<0.05).
    • No significant differences were found in baseline symptom scores across four affective symptom rating scales.
    • A family history of suicide was significantly associated with a history of violent suicide attempts (p<0.05).

    Conclusions:

    • Early onset and recurrent episodes of affective disorders are key indicators for suicide risk in depressed patients.
    • Bipolar disorder is more prevalent among depressed patients with a history of suicide attempts.
    • While symptom severity at baseline may not differ, a comprehensive assessment including family history and illness trajectory is vital for suicide risk evaluation in depression.