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Acute risk factors for suicide attempts and death: prospective findings from the STEP-BD study.


ABSTRACT:

Objectives

Suicide is unfortunately common in psychiatric practice, but difficult to predict. The present study sought to assess which clinical symptoms increase in the months before suicidal behavior in a sample of psychiatric outpatients with bipolar disorder.

Methods

Data from the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) trial were used. A total of 103 participants who attempted suicide or died by suicide during the trial were included; a 15% random sample of the remaining participants (n = 427) was used as a comparison sample. Linear mixed models in the six months before suicidal behavior were conducted for each of five proposed acute risk factors for suicidal behavior. Participants were assessed using the Clinical Monitoring Form (CMF) at

SUBMITTER: Ballard ED 

PROVIDER: S-EPMC4925294 | biostudies-literature | 2016 Jun

REPOSITORIES: biostudies-literature