Contributors to suicidal ideation among bipolar patients with and without a history of suicide attempts

Michael H. Allen, Cheryl A. Chessick, David J. Miklowitz, Joseph F. Goldberg, Stephen R. Wisniewski, Sachiko Miyahara, Joseph R. Calabrese, Lauren Marangell, Mark S. Bauer, Marshall R. Thomas, Charles L. Bowden, Gary S. Sachs

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

This study was designed to develop models for vulnerability to suicidal ideation in bipolar patients. Logistic regression models examined correlates of suicidal ideation in patients who had versus had not attempted suicide previously. Of 477 patients assessed, complete data on demographic, illness history, and personality variables were available on 243. The regression models achieved positive predictive values of 55% and 59% for the attempter (N = 92) and nonattempter groups (N = 151), respectively. Depression was cross-sectionally associated with suicidal ideation in both the attempter and nonattempter groups but made a smaller contribution among attempters. Poor psychosocial adaptation and the personality factor "openness" were stronger contributors to suicidal ideation among prior attempters while anxiety and extraversion appeared protective against ideation. Among nonattempters, depression, anxiety, and neuroticism were the predominant influences on suicidal ideation. Bipolar patients with suicidal ideation may benefit from different treatment strategies depending on their prior attempt status.

Original languageEnglish (US)
Pages (from-to)671-680
Number of pages10
JournalSuicide and Life-Threatening Behavior
Volume35
Issue number6
DOIs
StatePublished - 2005
Externally publishedYes

Fingerprint

Suicidal Ideation
Suicide
Personality
Anxiety
Logistic Models
Depression
Attempted Suicide
History
Demography

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Pathology and Forensic Medicine

Cite this

Allen, M. H., Chessick, C. A., Miklowitz, D. J., Goldberg, J. F., Wisniewski, S. R., Miyahara, S., ... Sachs, G. S. (2005). Contributors to suicidal ideation among bipolar patients with and without a history of suicide attempts. Suicide and Life-Threatening Behavior, 35(6), 671-680. https://doi.org/10.1521/suli.2005.35.6.671

Contributors to suicidal ideation among bipolar patients with and without a history of suicide attempts. / Allen, Michael H.; Chessick, Cheryl A.; Miklowitz, David J.; Goldberg, Joseph F.; Wisniewski, Stephen R.; Miyahara, Sachiko; Calabrese, Joseph R.; Marangell, Lauren; Bauer, Mark S.; Thomas, Marshall R.; Bowden, Charles L.; Sachs, Gary S.

In: Suicide and Life-Threatening Behavior, Vol. 35, No. 6, 2005, p. 671-680.

Research output: Contribution to journalArticle

Allen, MH, Chessick, CA, Miklowitz, DJ, Goldberg, JF, Wisniewski, SR, Miyahara, S, Calabrese, JR, Marangell, L, Bauer, MS, Thomas, MR, Bowden, CL & Sachs, GS 2005, 'Contributors to suicidal ideation among bipolar patients with and without a history of suicide attempts', Suicide and Life-Threatening Behavior, vol. 35, no. 6, pp. 671-680. https://doi.org/10.1521/suli.2005.35.6.671
Allen, Michael H. ; Chessick, Cheryl A. ; Miklowitz, David J. ; Goldberg, Joseph F. ; Wisniewski, Stephen R. ; Miyahara, Sachiko ; Calabrese, Joseph R. ; Marangell, Lauren ; Bauer, Mark S. ; Thomas, Marshall R. ; Bowden, Charles L. ; Sachs, Gary S. / Contributors to suicidal ideation among bipolar patients with and without a history of suicide attempts. In: Suicide and Life-Threatening Behavior. 2005 ; Vol. 35, No. 6. pp. 671-680.
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