Original Article

Psychiatric Disorders and Personality Profiles of Middle-Aged Suicide Attempters with No Evidence of Specific Psychopathological Profiles Referred to an Emergency Department

Abstract

Objective: The aim of the present study was to assess socio-demographic and psychiatric characteristics of 40-65 years old suicide attempters referred to an emergency department within four hours of making their attempt.
Method: We assessed a total of 93 suicide attempters (Mage=46.59 years) referred to an emergency department. Patients completed questionnaires covering socio-demographic data, personality traits, mood, and impulsivity; experts rated patients’ psychiatric status.
Results: Experts rated 85 (92.4%) of the suicide attempters as having a psychiatric disorder. Based on self-ratings and compared to normative data, 42 (46.6%) were psychopathologically ill. Suicide attempts were not related to impulsive personality traits, mood disorders, socio-demographic patterns or gender (gender-ratio: 1:1.58;f:m).
Conclusions: The pattern of results suggests that further unknown factors were involved in pushing people to attempt suicide.

Mirhashemi S, Motamedi MH, Mirhashemi AH, Taghipour H and Danial Z. Suicide in Iran. Lancet 2016; 387: 29.

Economou M, Angelopoulos E, Peppou LE, Souliotis K and Stefanis C. Suicidal ideation and suicide attempts in Greece during the economic crisis: an update. World Psychiatry 2016; 15: 83-84.

Nazarzadeh M, Bidel Z, Ayubi E, Asadollahi K, Carson KV and Sayehmiri K. Determination of the social related factors of suicide in Iran: a systematic review and meta-analysis. BMC public health 2013; 13: 4.

Arsenault-Lapierre G, Kim C and Turecki G. Psychiatric diagnoses in 3275 suicides: a meta-analysis. BMC Psychiatry 2004; 4: 37.

Ajdacic-Gross V. Suizidprävention. In: Rössler W, Kawohl W, eds. Handbuch der sozialen Psychiatrie. Stuttgart: Kohlhammer; 2014.

Menon V, Sarkar S, Kattimani S and Mathan K. Do Personality Traits Such as Impulsivity and Hostility-Aggressiveness Predict Severity of Intent in Attempted Suicide? Findings From a Record Based Study in South India. Indian J Psychol Med 2015; 37: 393-398.

Pompili M, Innamorati M, Raja M, Falcone I, Ducci G, Angeletti G, et al. Suicide risk in depression and bipolar disorder: Do impulsiveness-aggressiveness and pharmacotherapy predict suicidal intent? Neuropsychiatr Dis Treat 2008; 4: 247-255.

Milner A, Sveticic J and De Leo D. Suicide in the absence of mental disorder? A review of psychological autopsy studies across countries. Int J Soc Psychiatry 2013; 59: 545-554.

Ajdacic-Gross V, Bopp M, Gostynski M, Lauber C, Gutzwiller F, Rossler W. Age-period-cohort analysis of Swiss suicide data, 1881-2000. Eur Arch Psychiatry Clin Neurosci 2006; 256: 207-214.

Ajdacic-Gross V. Suicide - background, epidemiology, risk factors. Ther Umsch 2015; 72: 603-609.

Fleischmann A and De Leo D. The World Health Organization's report on suicide: a fundamental step in worldwide suicide prevention. Crisis 2014; 35: 289-291.

Ahmadpanah M, Haghighi M, Jahangard L, Borzoei S, Heshmati S, Bajoghli H, et al. No evidence for metabolic syndrome and lipid profile differences in patients suffering from bipolar I disorder with and without suicide attempts. Int J Psychiatry Clin Pract 2015; 19: 168-173.

Shakeri J, Farnia V, Valinia K, et al. The relationship between lifetime suicide attempts, serum lipid levels, and metabolic syndrome in patients with bipolar disorders. Int J Psychiatry Clin Pract 2015; 19: 124-131.

Association AP. Diagnostic and Statistical manual of Mental Disorders, 4th eds. DSM-IV-TR. Washington DC: American Psychiatric Association; 2000.

First MB, Gibbon M, Spitzer LR, Benjamin LS, Williams JBW. Structured Clinical Interview for DSM-IV Axis II Personality Disorders, (SCID-II). Washington, DC: American Psychiatric Press Inc; 1997.

Sharifi V, Assadi SM, Mohammadi MR, Amini H, Kaviani H, Semnani Y, et al. A Persian translation of the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition: psychometric properties. Compr Psychiatry 2009; 50: 86-91.

Millon T, Millon C, Davis R, Grossman S. MCMI-III Manual, 4th edition. Minneapolis, MN: Pearson Education, Inc; 2009

Sharifi AA. Guide to the MCMI (III). Tehran (Iran): Ravansanji Publications; 2007.

Moran TP. Anxiety and Working Memory Capacity: A Meta-Analysis and Narrative Review. Psychol Bull 2016; 142: 831-864.

Shansky RM and Lipps J. Stress-induced cognitive dysfunction: hormone-neurotransmitter interactions in the prefrontal cortex. Front Hum Neurosci 2013; 7: 123.

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IssueVol 12 No 4 (2017) QRcode
SectionOriginal Article(s)
Keywords
suicide attempts middle aged patients psychopathology socio-demographic dimensions emergency unit
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How to Cite
1.
Brand S, Nejat M, Haghighi M, Rahimi A, Jahangard L, Sadeghi Bahmani D, Bajoghli H, Holsboer-Trachsler E, Ahmadpanah M. Psychiatric Disorders and Personality Profiles of Middle-Aged Suicide Attempters with No Evidence of Specific Psychopathological Profiles Referred to an Emergency Department. Iran J Psychiatry. 2017;12(4):248-254.