An exploratory study of the relationship between diverse life events and specific personality disorders in a sample of suicide attempters

Hilario Blasco-Fontecilla, Enrique Baca-Garcia, Paul Duberstein, M. Mercedes Perez-Rodriguez, Kanita Dervic, Jeronimo Saiz-Ruiz, Philippe Courtet, Jose De Leon, Maria A. Oquendo

Research output: Contribution to journalArticlepeer-review

44 Citations (Scopus)

Abstract

Personality disorder (PD) increases risk for suicidal behavior. Certain life events (LE) can precipitate suicidal behaviors in patients with PD. A fundamental question is whether specific combinations of LE and PD increase suicidal risk. Four hundred forty-six suicide attempters (SA) were recruited from emergency rooms. We used a healthy control group (n = 515) to identify the best cut-off point for the instrument used to diagnose PD. We used the DSM-IV version of the International Personality Disorder Questionnaire-Screening Questionnaire, the Mini International Neuropsychiatric Interview, and the Social Adjustment Scale to assess PD, Axis I disorders, and LE, respectively. After controlling for Axis I disorders, we found that "Death of spouse" preceded suicidal acts in those with antisocial PD (FET p = 0.024) and patients with narcissistic PD attempted suicide after being Fired at work (FET p = 0.002), among others. Our data suggest the presence of particular LE-PD associations in suicide attempters. Some LE-PD relationships appear independent of Axis I disorders in suicide attempters. This may offer a basis for specific targeted therapies or prevention programs aimed at decreasing suicidal risk.

Original languageEnglish
Pages (from-to)773-784
Number of pages12
JournalJournal of Personality Disorders
Volume24
Issue number6
DOIs
Publication statusPublished - Dec 2010
Externally publishedYes

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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