Do bipolar disorder symptom profiles matter for suicide risk? A latent class approach to investigating differences in suicidal desire and acquired capability.

Introduction: Depressive and mixed symptoms in bipolar disorder (BD) have been linked to higher suicide risk. Based on Klonsky and May's three‐step theory and Joiner's Interpersonal Psychological Theory of Suicide, we hypothesized that patients diagnosed with BD who reported severe levels of depress...

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Publicado en:Suicide & Life-Threatening Behavior Vol. 54; no. 1; pp. 24 - 38
Autores principales: Freitag, Stephanie, Au, Josephine S., Liu, Daphne Y., Mekawi, Yara, Lamis, Dorian A.
Formato: Artículo
Publicado: Wiley-Blackwell Feb2024
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2024
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        atl: Do bipolar disorder symptom profiles matter for suicide risk? A latent class approach to investigating differences in suicidal desire and acquired capability.
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        au:
          Freitag, Stephanie
          Au, Josephine S.
          Liu, Daphne Y.
          Mekawi, Yara
          Lamis, Dorian A.
        affil:
          Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta Georgia,, USA
          Harvard T. H. Chan School of Public Health/Brigham and Women's Hospital/McLean Hospital, Boston Massachusetts,, USA
          Department of Psychology, Stony Brook University, Stony Brook New York,, USA
          Department of Psychological and Brain Sciences, University of Louisville, Louisville Kentucky,, USA
      su:
        Suicide risk factors
        Bipolar disorder
        Suicidal behavior
        Mental depression
        Suicidal ideation
        Desire
        Symptoms
      sug:
        subj:
          Suicide risk factors
          Bipolar disorder
          Suicidal behavior
          Mental depression
          Suicidal ideation
          Desire
          Symptoms
      keyword:
        acquired capability
        bipolar disorder
        latent class analysis
        suicidal desire
        suicidal thoughts and behaviors
        acquired capability
        bipolar disorder
        latent class analysis
        suicidal desire
        suicidal thoughts and behaviors
      ab: Introduction: Depressive and mixed symptoms in bipolar disorder (BD) have been linked to higher suicide risk. Based on Klonsky and May's three‐step theory and Joiner's Interpersonal Psychological Theory of Suicide, we hypothesized that patients diagnosed with BD who reported severe levels of depressive symptoms and mixed depressive and manic symptoms would also report higher levels of suicidal desire and acquired capability of suicide, as well as suicidal thoughts and behaviors. Methods: The sample included 177 outpatients diagnosed with BD. Latent class analysis was conducted to replicate the identified groups of a previously conducted study using a smaller but overlapping dataset. Between‐class and pairwise analyses with measures of suicidal desire and acquired capability were conducted. Results: As expected, the classes characterized by severe depressive symptoms and mixed symptoms reported higher levels of suicidal desire. However, the results regarding acquired capability were less consistent. Conclusion: Given the overall elevated suicide risk of BD and the consistent relationship between depressive symptoms and other strong correlates of suicide, clinicians who work with patients diagnosed with BD should closely monitor changes in their depressive symptoms.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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