Suicide Risk in Patients with Somatization Disorder

Summary: The aim of the study was to assess suicide risk in psychiatric outpatients with and without somatization disorder. A total sample of 120 psychiatric outpatients was used in the study, 29 of whom met diagnostic criteria for somatization disorder. The results indicated that somatization disorder was significantly associated with suicide attempts even when the effects of both a comorbid major depressive disorder and a comorbid personality disorder were statistically controlled for. The results suggest that, although a patient meets the criteria for a principal diagnosis of major depressive disorder and/or a personality disorder, it is still of significant importance to decide whether or not the patient also meets the criteria for a somatization disorder in order to more optimally assess suicide risk. The findings highlight the fact that the potential for suicide in patients with somatization disorder should not be overlooked when a diagnosable depressive disorder or personality disorder is not present.

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Screening for Borderline Personality Disorder in Psychiatric Outpatients With Major Depressive Disorder and Bipolar Disorder

The Journal of Clinical Psychiatry ◽

10.4088/jcp.18m12257 ◽

2019 ◽

Vol 80 (1) ◽

Cited By ~ 6

Author(s):

Mark Zimmerman ◽

Caroline Balling ◽

Kristy Dalrymple ◽

Iwona Chelminski

Keyword(s):

Bipolar Disorder ◽

Major Depressive Disorder ◽

Borderline Personality Disorder ◽

Personality Disorder ◽

Depressive Disorder ◽

Borderline Personality ◽

Psychiatric Outpatients ◽

Major Depressive

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Suicidal Imagery in Borderline Personality Disorder and Major Depressive Disorder

Journal of Personality Disorders ◽

10.1521/pedi_2019_33_406 ◽

2020 ◽

Vol 34 (4) ◽

pp. 546-564 ◽

Cited By ~ 4

Author(s):

Katharina Schultebraucks ◽

Moritz Duesenberg ◽

Martina Di Simplicio ◽

Emily A. Holmes ◽

Stefan Roepke

Keyword(s):

Major Depressive Disorder ◽

Borderline Personality Disorder ◽

Suicidal Ideation ◽

Personality Disorder ◽

Depressive Disorder ◽

Mental Imagery ◽

Suicide Attempts ◽

Borderline Personality ◽

Major Depressive ◽

Patient Groups

A better understanding of suicidal behavior is important to detect suicidality in at-risk populations such as patients with borderline personality disorder (BPD), posttraumatic stress disorder (PTSD), and major depressive disorder (MDD). Suicidal tendencies are clinically assessed by verbal thoughts rather than by specifically asking about mental images. This study examines whether imagery and verbal thoughts about suicide occur and differ between patients with BPD with and without comorbid PTSD compared to patients with MDD (clinical controls). All patient groups experienced suicide-related images. Patients with BPD with comorbid PTSD reported significantly more vivid images than patients with MDD. Severity of suicidal ideation, number of previous suicide attempts, and childhood traumata were significantly associated with suicidal imagery across all patient groups. The authors demonstrate for the first time that suicide-related mental imagery occurs in BPD and is associated with suicidal ideation. This finding highlights the importance of assessing mental imagery related to suicide in clinical practice.

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Sustained unemployment in psychiatric outpatients with bipolar depression compared to major depressive disorder with comorbid borderline personality disorder

Bipolar Disorders ◽

10.1111/bdi.12014 ◽

2012 ◽

Vol 14 (8) ◽

pp. 856-862 ◽

Cited By ~ 12

Author(s):

Mark Zimmerman ◽

Jennifer H Martinez ◽

Diane Young ◽

Iwona Chelminski ◽

Kristy Dalrymple

Keyword(s):

Major Depressive Disorder ◽

Borderline Personality Disorder ◽

Personality Disorder ◽

Depressive Disorder ◽

Bipolar Depression ◽

Borderline Personality ◽

Psychiatric Outpatients ◽

Major Depressive

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Co-Morbidity of DSM-IV Personality Disorder in Major Depressive Disorder Among Psychiatric Outpatients in China: A Further Analysis of an Epidemiologic Survey in a Clinical Population

Frontiers in Psychiatry ◽

10.3389/fpsyt.2019.00833 ◽

2019 ◽

Vol 10 ◽

Cited By ~ 1

Author(s):

Yuchen Zheng ◽

Francesca Severino ◽

Li Hui ◽

HaiSu Wu ◽

Jijun Wang ◽

...

Keyword(s):

Major Depressive Disorder ◽

Personality Disorder ◽

Depressive Disorder ◽

Clinical Population ◽

Psychiatric Outpatients ◽

Major Depressive ◽

Epidemiologic Survey ◽

Co Morbidity ◽

Dsm Iv

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One-Year Follow-up of Children and Adolescents with Major Depressive Disorder: Relationship between Clinical Variables and Abcb1 Gene Polymorphisms

Pharmacopsychiatry ◽

10.1055/s-0042-108202 ◽

2016 ◽

Vol 49 (06) ◽

pp. 248-253 ◽

Cited By ~ 5

Author(s):

A. Blázquez ◽

P. Gassó ◽

S. Mas ◽

M. Plana ◽

A. Lafuente ◽

...

Keyword(s):

Major Depressive Disorder ◽

Depressive Disorder ◽

Suicide Risk ◽

Suicide Attempts ◽

Diagnostic Interview ◽

Stressful Events ◽

Major Depressive ◽

Abcb1 Gene ◽

One Year

Abstract Introduction: Differences in response to fluoxetine (FLX) may be influenced by certain genes that are involved in FLX transportation (ABCB1). We examined remission and recovery from the index episode in a cohort of patients treated with FLX, and also investigated associations between genetic variants in ABCB1 and remission, recovery, and suicide risk. Methods: This was a naturalistic 1-year follow-up study of 46 adolescents diagnosed with major depressive disorder (MDD). At 12 months they underwent a diagnostic interview with the K-SADS-PL. Results: It was found that remission was around 69.5% and recovery 56.5%. Remission and recovery were associated with lower scores on the CDI at baseline, with fewer readmissions and suicide attempts, and with lower scores on the CGI and higher scores on the GAF scale. No relationship was found between ABCB1 and remission or recovery. However, a significant association was observed between the G2677T ABCB1 polymorphism and suicide attempts. Conclusion: Other factors such as stressful events, family support, and other genetic factors are likely to be involved in MDD outcome.

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Comorbidity of major depressive disorder and personality disorder increase the risk for suicide

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.560 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S478-S479

Author(s):

A. Mihai ◽

M. Mihai ◽

M.S. Mocan ◽

C.I. Moga ◽

E.V. Nistor ◽

...

Keyword(s):

Major Depressive Disorder ◽

Personality Disorder ◽

Depressive Disorder ◽

Suicide Attempts ◽

Small Sample Size ◽

Small Sample ◽

Major Depressive ◽

Significant Difference ◽

Group A ◽

Group B

IntroductionPersonality disorder (PD) with an associated diagnostic of major depressive disorder (MDD) is a common occurrence, being considered a factor of treatment resistant depression. In this study, we compare two groups of patients’ one group having Major Depressive Episode (MDD) and the other with MDD and PD as comorbidity.MethodsThis is an observational study of all patients admitted with diagnosis of MDD during one month period in an acute psychiatric hospital. Data collection is made using patients files. During one month period a total number of 105 MDD cases were recorded (group A-75 cases with MDD and group B-30 patients with PD and MDD). The diagnosis was recorded in files by a specialist psychiatrist. Data is analyzed using SPSS v.20.ResultsA significant difference is found when comparing age groups, mean age for group A being 60 years and for group B 35 years (P = 0.05). Regarding suicide attempts a higher prevalence is found in Group B (Group A 6.7%, Group B 20%) although with statistical relevance (P = 0.04). Study limitation: small sample size of group B does not allow analysis on different type of personality disorders, length of hospitalisation could be biased by the requirements of assurance company.ConclusionsThe risk of admission is higher at younger age in patients with MDD associated with PD then in MDD alone. The risk of suicide attempts is significantly higher in group of MDD associated with PD.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Assessing Suicide Risk in Cluster C Personality Disorders

Crisis ◽

10.1027/0227-5910.25.3.128 ◽

2004 ◽

Vol 25 (3) ◽

pp. 128-133 ◽

Cited By ~ 14

Author(s):

Andrea P. Chioqueta ◽

Tore C. Stiles

Keyword(s):

Personality Disorder ◽

Depressive Disorder ◽

Personality Disorders ◽

Suicide Risk ◽

Suicide Attempts ◽

Psychiatric Outpatients ◽

Obsessive Compulsive ◽

Cluster B Personality Disorders ◽

Axis I ◽

Cluster A

Abstract: The aim of the study was to assess suicide risk in psychiatric outpatients with specific cluster C personality disorders (avoidant, dependent, and obsessive-compulsive). A sample of 142 psychiatric outpatients was used for the study. The sample was composed of 87 outpatients meeting diagnostic criteria for a personality disorder and 53 psychiatric outpatients meeting criteria for an axis I disorder only. The results showed that dependent, but not avoidant or obsessive-compulsive, personality disorders, as well as the clusters A and B personality disorders, were significantly associated with suicide attempts. This association remained significant after controlling for both a lifetime depressive disorder and severity of depression for the cluster A and the cluster B personality disorders, but not for dependent personality disorder. The results underline the importance of assessing suicide risk in patients with cluster A and cluster B personality disorders, while the assessment of suicide risk in patients with cluster C personality disorders seems to be irrelevant as long as assessment of a comorbid depressive disorder is appropriately conducted.

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