Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Association of Temperament and Character Traits with Suicide Probability, Suicide Attempt and Perceived Stress Level in Patients with Bipolar Disorder

Version 1 : Received: 10 January 2024 / Approved: 10 January 2024 / Online: 11 January 2024 (10:13:12 CET)

A peer-reviewed article of this Preprint also exists.

Özdemir Yılmaz, S.; Ertekin Yazıcı, A.; Yılmaz, H. Association of Temperament and Character Traits with Suicide Probability, Suicide Attempts, and Perceived Stress Level in Patients with Bipolar Disorder. Behav. Sci. 2024, 14, 197. Özdemir Yılmaz, S.; Ertekin Yazıcı, A.; Yılmaz, H. Association of Temperament and Character Traits with Suicide Probability, Suicide Attempts, and Perceived Stress Level in Patients with Bipolar Disorder. Behav. Sci. 2024, 14, 197.

Abstract

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 attempt and perceived stress level in patients with BD. A total of 39 euthymic patients with bipolar disorder who had a history of suicide attempt and 39 euthymic patients without a history of suicide attempt were included in this study. Sociodemographic and clinical data form, Hamilton Depression Rating Scale (HDRS), Young Mania Rating Scale (YMRS), The Structured Clinical Interview for DSM-5-Clinician Version (SCID-5/CV), Temperament and Character Inventory (TCI), Perceived Stress Scale (PSS), Suicide Probability Scale were used for obtaining 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 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, high ST with CO may be associated with suicide attempt. Alongside low SD, high HA and ST may be associated with suicidal ideation. Treating residual depressive symptoms can reduce the risk of suicide.

Keywords

bipolar disorder; suicide attempt; suicidal behavior; temperament; character; personality; perceived stress

Subject

Medicine and Pharmacology, Psychiatry and Mental Health

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