Correlation Between Insight Level and Suicidal Behavior/Ideation in Bipolar Depression
- 383 Downloads
Suicide is a relatively common outcome along the course of bipolar disorder. Studies have shown a positive correlation between ideation or attempts of suicide and higher insight in schizophrenic patients. Nevertheless there are still few studies that evaluate the relationship between suicide and insight in mood disorders. Evaluate the relationship between insight and suicidal ideation or behavior in bipolar depression. A group of 165 bipolar patients were followed up along 1 year. Each patient’s mood was assessed in every consultation according to DSM-IV-TR criteria. Suicidal ideation and behavior were prospectively assessed through item 3 of HAM-D whenever a major depressive episode was diagnosed. Insight was evaluated through the Insight Scale for Affective Disorders. A history of suicidal attempts was associated with worse insight in 60 patients with one episode of bipolar depression. The difference remained even when the supposed effect of depression over insight was controlled. No correlation between current suicidal ideation and insight level was found though. Our results suggest that a history of suicide attempts may correlate with higher impairment of insight in bipolar depression. No relationship was found between current suicidal ideation and insight.
KeywordsInsight Suicide Bipolar depression
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, CAPES.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- 13.Del-Ben CM, Vilela JAA, Crippa JAS, Hallak JEC, Labate CM, Zuardi AW: Confiabilidade de “Entrevista Clínica Estruturada para o DSM-IV–Versão Clínica” traduzida para o português/Reliability of the structured clinical interview for DSM-IV—clinical version translated into Portuguese. Revista Brasileira de Psiquiatria 23:156–159, 2010.CrossRefGoogle Scholar
- 16.Chaves AC, Shirakawa I: Positive and negative syndrome scale—PANSS and it use in Brazil. Revista de Psiquiatria Clínica 25:337–343, 1998.Google Scholar
- 18.Olaya B, Marsà F, Ochoa S, Balanzá-Martínez V, Barbeito S, García-Portilla MP, González-Pinto A, Lobo A, López-Antón R, Usall J, Arranz B, Haro JM: Development of the insight scale for affective disorders (ISAD): Modification from the scale to assess unawareness. Journal of Affective Disorders 142:65–71, 2012.CrossRefPubMedGoogle Scholar
- 24.Bourgeois M, Swedenson J, Young F, Amador X, Pini S, Cassano GB, Lindenmayer J, Hsu C, Alphs L, Meltzer HY: Awareness of disorder and suicide risk in the treatment of schizophrenia: Results of the international suicide prevention trial. American Journal of Psychiatry 161:1494–1496, 2004.CrossRefPubMedGoogle Scholar
- 26.Kemp R, David A: Insight and compliance. In: Blackwell B (Ed): Insight and compliance. Newark (NJ): Gordon and Breach Publishing Group p. 61–84, 1996.Google Scholar