Prevalence of subthreshold forms of psychiatric disorders in persons making suicide attempts in Hungary

Citation
J. Balazs et al., Prevalence of subthreshold forms of psychiatric disorders in persons making suicide attempts in Hungary, EUR PSYCHIA, 15(6), 2000, pp. 354-361
Citations number
54
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Psychiatry,"Clinical Psycology & Psychiatry
Journal title
EUROPEAN PSYCHIATRY
ISSN journal
0924-9338 → ACNP
Volume
15
Issue
6
Year of publication
2000
Pages
354 - 361
Database
ISI
SICI code
0924-9338(200009)15:6<354:POSFOP>2.0.ZU;2-D
Abstract
Background - Suicide and suicide attempts have been associated to psychiatr ic illnesses; however, little is known about the role in suicide risk of th ose symptoms that do not meet the full criteria for a DSM-IV disorder. The aim of this study was to examine the prevalence of subthreshold psychiatric disorders among suicide attempters in Hungary. Methods - Using a modified structured interview (Mini International Neuropsychiatric Interview) determ ining 16 Axis I psychiatric diagnoses and their subthreshold forms defined by the DSM-IV and a semistructured interview collecting background informat ion, the authors examined 140 consecutive suicide attempters, aged 18-65 ye ars. Results - Eighty-three-point-six percent of the attempters had one or more current threshold diagnoses on Axis I and in addition more than three- quarters (78.6%) of the subjects had at least one subthreshold diagnosis. S ix-point-four percent of the subjects (N = 9) had neither subthreshold nor threshold diagnoses at the time of their suicide attempts. Ten percent of t he subjects (N = 14), not meeting the full criteria for any DSM-IV diagnose s, had at least one subthreshold diagnosis. In 68.6% of the subjects (N = 9 6), both subthreshold and threshold disorders were diagnosed at the time of their suicide attempts. The number of subthreshold and threshold diagnoses were positively and significantly related (chi(2) = 5.12, df = 1, P < 0.05 ). Sixty-three-point-six percent of the individuals received two or more cu rrent threshold diagnoses on Axis I and 44.3% of the individuals (N = 62) h ad two or more subthreshold diagnoses at the time of their suicide attempts . Limitations - The subthreshold definitions in this study included only th ose forms of the disorders which required the same duration as the criteria DSM-IV disorder with fewer symptoms. Conclusions - Suicide attempts showed a very high prevalence of subthreshold disorders besides psychiatric disor ders meeting the full criteria required according to the DSM-IV. Subthresho ld forms of mental disorders need to be taken into account in suicide preve ntion. (C) 2000 Editions scientifiques et medicales Elsevier SAS.