Personality disorders and suicide attempts in unipolar and bipolar mood disorders
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- 作者：Pekka Jylhä ; a ; b ; Tom Rosenströ ; mc ; Outi Manterea ; b ; Kirsi Suominena ; d ; Tarja Melartina ; b ; Maria Vuorilehtoa ; b ; Mikael Holmaa ; Kirsi Riihimä ; kia ; e ; Maria A. Oquendof ; Liisa Keltikangas-Jä ; rvinenc ; Erkki T. Isometsä ; a ; b ; erkki.isometsa@hus.fi" class="auth_mail" title="E-mail the corresponding author
- 关键词：Suicide attempt ; Suicidal behavior ; Personality disorders ; Mood disorders ; Longitudinal studies
- 刊名：Journal of Affective Disorders
- 出版年：2016
- 出版时间：15 January 2016
- 年：2016
- 卷：190
- 期：Complete
- 页码：632-639
- 全文大小：581 K
文摘
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Among mood disorder patients, comorbid personality disorders (PDs) increase the risk of suicide attempts (SAs) to approximately two-fold.
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The excess risk is mostly due to patients with comorbid PDs spending more time in major depressive episodes (MDEs) than those without.
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All DSM-IV PD clusters increased the rate of new SAs, although cluster C PDs more than the others.
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After adjusting for time spent in MDEs, only cluster C further increased the SA rate.
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Direct risk-modifying effects of PDs were also found.