Comorbid personality disorder predicts suicide after major depression: a 10-year follow-up

P E B Hansen, August G. Wang, K B Stage, P Kragh-Sorensen

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40 Citations (Scopus)

Abstract

OBJECTIVE: To identify psychopathological predictors for suicide in a population of major depressed Diagnostic Statistical Manual-III (DSM-III) in-patients. METHOD: A total of 210 previous participants in multicentre antidepressant drug trials, carried out in a randomized double-blind design, were followed prospectively through a maximum of 10 years. Patients with a drug or alcohol abuse were excluded. The association between suicide and the pretreatment psychopathological profile was analysed using survival statistics. RESULTS: The suicide rate for non-melancholic depressed patients was significantly higher than for melancholic depressed patients. Comorbid personality disorder was independently associated with an increased suicide rate [relative hazard 3.41(CI: 1.15-10.10)]. CONCLUSION: The study indicates that the non-melancholic aspect of depression, and especially comorbid personality disorder, is associated with an increased suicidal vulnerability.
Original languageEnglish
Pages (from-to)436-440
Number of pages4
JournalActa Psychiatrica Scandinavica
Volume107
Issue number7
Publication statusPublished - 2003

Keywords

  • adult
  • aged
  • 80 and over
  • comorbidity
  • depressive disorders
  • female
  • follow-up studies
  • male
  • middle aged
  • personality disorders
  • risk factors
  • suicide

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