Increased Suicidal Ideation in Patients with Co-Occurring Bipolar Disorder and Post-Traumatic Stress Disorder

被引:8
作者
Carter, Julia M. [1 ]
Arentsen, Timothy J. [2 ]
Cordova, Matthew J. [3 ,4 ]
Ruzek, Josef [3 ,4 ]
Reiser, Robert [5 ]
Suppes, Trisha [4 ,6 ]
Ostacher, Michael J. [4 ,6 ]
机构
[1] South Texas Vet Hlth Care Syst, San Antonio, TX USA
[2] Memphis Vet Affairs Med Ctr, Memphis, TN USA
[3] Palo Alto Univ, Palo Alto, CA USA
[4] Vet Affairs Palo Alto Hlth Care Syst, Palo Alto, CA USA
[5] Univ San Francisco, Sch Nursing & Hlth Profess, San Francisco, CA 94117 USA
[6] Stanford Univ, Sch Med, Stanford, CA USA
关键词
anxiety; anxiety disorders; bipolar disorder; co-occurring diagnosis; PTSD; suicidal ideation; suicide risk; TREATMENT ENHANCEMENT PROGRAM; RATING-SCALE; STEP-BD; PSYCHIATRIC COMORBIDITY; ANXIETY DISORDERS; DEPRESSION SCALE; MENTAL-ILLNESS; PREVALENCE; VETERANS; RELIABILITY;
D O I
10.1080/13811118.2016.1199986
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Suicide risk increases for those with Bipolar Disorder or PTSD, however little research has focused on risk for co-occurring Bipolar Disorder and PTSD. The aim of this article was to evaluate increased suicide risk in co-occurring disorders, and differences in suicide risk for patients with Bipolar I versus Bipolar II. This study evaluated suicide risk in patients with co-occurring PTSD and Bipolar Disorder (n=3,158), using the MADRS and Suicide Questionnaire. Those with history of PTSD had significantly higher suicidal ideation than those without (U=1063375.00, p<.0001). Those with Bipolar I had higher risk than those with Bipolar II. Patients with Bipolar I and PTSD were at higher risk for suicidal ideation, implying the importance of diagnosis and risk assessment.
引用
收藏
页码:621 / 632
页数:12
相关论文
共 37 条
[1]  
[Anonymous], 2000, DIAGN STAT MAN MENT, DOI DOI 10.1176/APPI.BOOKS.9780890425787
[2]   Impact of childhood abuse on the course of bipolar disorder: A replication study in US veterans [J].
Brown, GR ;
McBride, L ;
Bauer, MS ;
Williford, WO .
JOURNAL OF AFFECTIVE DISORDERS, 2005, 89 (1-3) :57-67
[3]   THE MONTGOMERY-ASBERG DEPRESSION SCALE - RELIABILITY AND VALIDITY [J].
DAVIDSON, J ;
TURNBULL, CD ;
STRICKLAND, R ;
MILLER, R ;
GRAVES, K .
ACTA PSYCHIATRICA SCANDINAVICA, 1986, 73 (05) :544-548
[4]   Assessment of a new self-rating scale for posttraumatic stress disorder [J].
Davidson, JRT ;
Book, SW ;
Colket, JT ;
Tupler, LA ;
Roth, S ;
David, D ;
Hertzberg, M ;
Mellman, T ;
Beckham, JC ;
Smith, RD ;
Davison, RM ;
Katz, R ;
Feldman, ME .
PSYCHOLOGICAL MEDICINE, 1997, 27 (01) :153-160
[5]   Post-traumatic stress disorder among adolescents with bipolar disorder and its relationship to suicidality [J].
Dilsaver, Steven C. ;
Benazzi, Franco ;
Akiskal, Hagop S. ;
Akiskal, Kareen K. .
BIPOLAR DISORDERS, 2007, 9 (06) :649-655
[6]   Screening for trauma history on an inpatient affective-disorders unit: A pilot study [J].
Escalona, R ;
Tupler, LA ;
Saur, CD ;
Krishman, KRR ;
Davidson, JRT .
JOURNAL OF TRAUMATIC STRESS, 1997, 10 (02) :299-305
[7]   What we have learned from the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) study [J].
Fawcett, Jan .
PSYCHIATRIC ANNALS, 2008, 38 (07) :450-456
[8]  
Goldberg JF, 2004, PSYCHIAT ANN, V34, P874
[9]   Physical and sexual assault history in women with serious mental illness: Prevalence, correlates, treatment, and future research directions [J].
Goodman, LA ;
Rosenberg, SD ;
Mueser, KT ;
Drake, RE .
SCHIZOPHRENIA BULLETIN, 1997, 23 (04) :685-696
[10]   A RATING SCALE FOR DEPRESSION [J].
HAMILTON, M .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1960, 23 (01) :56-62