• Tonguç D Berkol, Serkan İslam, Ebru Kırlı, Rasim Pınarbaşı, and İlker Özyıldırım.
• Department of Psychiatry, Dışkapı Yıldırım Beyazıt Research and Training Hospital, Ankara, Turkey. E-mail. tberkol@gmail.com.
• Saudi Med J. 2016 Jun 1; 37 (6): 662667662-7.

ObjectivesTo identify clinical predictors of suicide attempts in patients with bipolar disorder.MethodsThis study included bipolar patients who were treated in the Psychiatry Department, Haseki Training and Research Hospital, Istanbul, Turkey, between 2013 and 2014; an informed consent was obtained from the participants. Two  hundred and eighteen bipolar patients were assessed by using the structured clinical interview for Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) Axis-I (SCID-I) in order to detect all possible psychiatric comorbid diagnoses. Clinical predictors of suicide attempts were examined in attempters and non-attempters. The study design was retrospective.ResultsThe lifetime suicide attempt rate for the entire sample was 19.2%. Suicide attempters with bipolar disorder had more lifetime comorbidity of eating disorder. Female gender and family history of mood disorder were significant predictors for suicide attempts. There was no difference between groups in terms of bipolar disorder subtype, onset age of bipolar disorder, total number of episodes, first and predominant episode type, suicide history in first degree relatives, severity of episodes, and hospitalization and being psychotic.ConclusionOur study revealed that female gender, family history of mood disorder, and eating disorder are more frequent in bipolar patients with at least one suicide attempt.

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