Özdemir Yılmaz Selma, Ertekin Yazıcı Aylin, Yılmaz Hamdi
Department of Psychiatry, Mersin Toros State Hospital, 33060 Mersin, Türkiye.
Medical School, Department of Psychiatry, Mersin University, 33079 Mersin, Türkiye.
Behav Sci (Basel). 2024 Feb 29;14(3):197. doi: 10.3390/bs14030197.
Bipolar disorder (BD) is a high-suicide-risk mental disorder. The purpose of this study was to identify the relationship between temperament and character traits with suicide probability, suicide attempts, and perceived stress level in patients with BD. A total of 39 euthymic patients with bipolar disorder who had a history of suicide attempts and 39 euthymic patients without a history of suicide attempts were included in this study. The sociodemographic and clinical data form, Hamilton Depression Rating Scale (HDRS), Young Mania Rating Scale (YMRS), Structured Clinical Interview for DSM-5-Clinician Version (SCID-5/CV), Temperament and Character Inventory (TCI), Perceived Stress Scale (PSS), and Suicide Probability Scale were used to obtain the data. HDRS, PSS, and SPS scores of the group comprised of patients who attempted suicide were higher than the other group. There was no significant difference between the group of patients who had attempted suicide and the other group in terms of temperament characteristics. In the group of patients who had attempted suicide, self-directedness (SD) and cooperativeness (CO) scores were lower, and the self-transcendence (ST) score was higher than the other group. HA and ST were positively and SD negatively associated with SPS scores. In the regression analysis for suicide risk, the factors most associated with suicide risk were high HDRS and low CO score. Low SD in BD and high ST with CO may be associated with suicide attempts. Alongside low SD, high HA and ST may be associated with suicidal ideation. Treating residual depressive symptoms can reduce the risk of suicide.
双相情感障碍（BD）是一种自杀风险很高的精神障碍。本研究的目的是确定双相情感障碍患者的气质和性格特征与自杀可能性、自杀未遂及感知压力水平之间的关系。本研究纳入了39名有自杀未遂史的双相情感障碍病情缓解期患者和39名无自杀未遂史的双相情感障碍病情缓解期患者。使用社会人口统计学和临床数据表格、汉密尔顿抑郁量表（HDRS）、杨氏躁狂量表（YMRS）、《精神疾病诊断与统计手册》第5版临床医生版结构化临床访谈（SCID - 5/CV）、气质与性格量表（TCI）、感知压力量表（PSS）和自杀可能性量表来获取数据。有自杀未遂行为的患者组的HDRS、PSS和SPS评分高于另一组。在气质特征方面，有自杀未遂行为的患者组与另一组之间没有显著差异。在有自杀未遂行为的患者组中，自我导向性（SD）和合作性（CO）得分较低，而自我超越性（ST）得分高于另一组。HA和ST与SPS评分呈正相关，SD与SPS评分呈负相关。在自杀风险的回归分析中，与自杀风险最相关的因素是高HDRS和低CO评分。双相情感障碍患者低SD以及高ST与CO可能与自杀未遂有关。除了低SD外，高HA和高ST可能与自杀意念有关。治疗残留的抑郁症状可以降低自杀风险。
