Heterogeneity of Borderline Personality Disorder: do the Number of Criteria met Make a Difference?

The authors examined whether the severity of borderline personality disorder, as measured by the number of criteria present, is associated with comorbidity of Axis I & Axis II diagnoses, as well as demographic factors & psychosocial functioning. 2300 psychiatric outpatients were interviewed. Approximately 10% of the patients were diagnosed with borderline personality disorder. There were […]

Reduced Suicidal Ideation in Bipolar I Disorder Mixed-Episode Patients in a Placebo-Controlled Trial of Olanzapine Combined With Lithium or Divalproex

Symptoms associated with suicidality in bipolar I patients were identified & suicide risk during treatment with olanzapine in combination with lithium or divalproex was assessed. Data were used from a previous study in which patients with bipolar I manic or mixed-episode who were partially responsive to at least 2 weeks of lithium or divalproex monotherapy […]

Attempted Suicide and Self-Injury in Patients Diagnosed With Eating Disorders

This study investigated factors associated with suicidal behaviour in eating disorder patients. 150 patients at an outpatient clinic were included & data were gathered by retrospective chart analysis. 48 patients had a history of parasuicide. A significantly greater percentage of parasuicidal patients than nonparasuicidal patients had eating disorders with bingeing/purging symptomatology, used more than one […]

Depression and Suicide

This article focusses on the assessment of suicide risk in depressed patients. The discussion includes an examination of: the clinical picture of depression; risk factors for suicide in depressed patients; the relationship of stage of illness to suicide risk; suicide ideation, suicide attempt & family history of suicide; the association of risk with drinking; & […]

Depression Symptomatology and Diagnosis: Discordance Between Patients and Physicians in Primary Care Settings

This study examined the agreement between depression symptoms using an assessment tool & physician documentation of the same symptoms during a clinic visit, & then examined how the presence of these symptoms affected depression diagnosis in primary care settings. A total of 304 participants were recruited from two large urban primary care community settings. Analysis […]

Cosmetic Breast Augmentation and Suicide

This article discusses the unexpected relationship between cosmetic breast implants & suicide that has been found in 6 epidemiological investigations completed in the last several years. Across the six studies, the suicide rate of women who received cosmetic breast implants is approximately twice the expected rate based on estimates of the general population. This finding […]

Treating Body Dysmorphic Disorder With Medication: Evidence, Misconceptions, and a Suggested Approach

In this overview of the pharmacotherapy of body dysmorphic disorder, the authors briefly describe this disorder’s clinical features, associated morbidity, & how to recognize & diagnose body dysmorphic disorder. Pharmacotherapy research, with a focus on serotonin-reuptake inhibitors, is reviewed. Many patients have substantial improvement in core symptoms, psychosocial functioning, quality of life, measure of suicidality […]

Psychological Profile of Adolescent Girls With High Levels of Suicide Ideation and Suicide Attempts

The psychopathological problems of suicide ideators & suicide attempters in a sample of young Iranian female students were studied. 2,650 females students, aged 14-21 years, in 3 high-risk provinces were selected. The results showed the psychological profiles of suicide ideators & attempters differed significantly from those of non-ideators & non-attempters. Further, their profiles were characterized […]

An Examination of DSM-IV Depressive Symptoms and Risk for Suicide Completion in Major Depressive Disorder: a Psychological Autopsy Study

A psychological autopsy method with best informants was used to investigate DSM-IV depressive symptoms among 156 people who died by suicide in the context of a major depressive episode & 81 major depressive controls. Suicide victims’ depressive symptoms were more likely to include weight or appetite loss, insomnia, feelings of worthlessness or inappropriate guilt as […]

Suicide Risk in Schizophrenia: Learning From the Past to Change the Future

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Avoidable Deaths: Five Year Report of the National Confidential Inquiry Into Suicide and Homicide by People With Mental Illness

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Tramadol Exposures Reported to Statewide Poison Control System

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Educator Effectiveness in Identifying Symptoms of Adolescents at Risk for Suicide

Age-related Characteristics of Depression

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Prospective Study of Risk Factors for Attempted Suicide Among Patients With DSM-IV Major Depressive Disorder

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Empirically Informed Approaches to Topics in Suicide Risk Assessment

Suicidality in Schizophrenia as a Separate Symptom Domain That may be Independent of Depression or Psychosis

Internet-based Cognitive-behavioral Therapy for Complicated Grief: a Randomized Controlled Trial

Suicidality in Bipolar I Disorder

Characteristics of Suicide Attempters and Nonattempters With Schizophrenia in a Rural Community

Proximal Psychiatric Risk Factors for Suicidality in Youth: the Great Smoky Mountains Study

The objectives of this study were to characterize the proximal risks for suicidality associated with anxiety, depressive, disruptive behavior, & substance use disorders, & to test whether there are critical combinations of disorders that discriminate at-risk youth independent of severity of psychopathology. The study included an epidemiological sample of youth in the Great Smoky Mountains […]

Depression in the Long-Term Course of Schizophrenia

This paper reports on the prevalence of depression in 107 patients of the ABC schizophrenia study over 12 years after first hospital admission. All but one of the 107 patients experienced 1-10 episodes of depressed mood between index assessment & long-term follow-up. In any month of the observation period, about 30-35% of the patients presented […]

Psychotic Symptoms in Urban General Medicine Practice

The goals of this study were to estimate the prevalence of psychotic symptoms among adults attending an urban general medical practice that serves a low-income population & to describe the mental health, social & occupational functioning, & mental health treatment of these patients. 210 patients (20.9% of the sample) reported 1 or more psychotic symptoms. […]