Korean J Psychosom Med.  2015 Dec;23(2):107-113. 10.0000/kjpm.2015.23.2.107.

The Relationship between Possibility of Bipolar Disorder and Suicidal Attempt in Emergency Room

• Huh L
• Kim KH
• Chun JH
• Park YM
• Kim YH
• Lee BJ

• KMID: 2158471
• DOI: http://doi.org/10.0000/kjpm.2015.23.2.107

Abstract

OBJECTIVES
The aim of this study was to investigate the factors including possibility of bipolar disorder that are related to intensity of suicidal idea.
METHODS
The study subjects consisted of 50 patients who did suicidal attempt and treated at the Inje University Haeundae Paik Hospital Emergency Room. All participants underwent psychiatric interview and underwent Columbia Suicide Severity Rating Scale(C-SSRS), Beck Depression Inventory(BDI), Korean Version of Mood Disorder Questionnaire(MDQ) and Bipolar Spectrum Diagnostic Scale(BSDS) to evaluate patient's suicide attempt, severity of depression and possibility of bipolar disorder.
RESULTS
Compared to non-high risk group, suicide high risk group showed significantly higher BDI(p<0.001) and intensity of ideation(IOI) in C-SSRS(p<0.001). Also intensity of ideation(IOI) was correlated with Mood Disorder Questionnaire(MDQ) bipolarity positive(p=0.033).
CONCLUSION
The present study indicated that possibility of bipolar disorder plays a significant role in suicide attempters. Assessment of suicide ideation severity and possibility of bipolar disorder should be considered when suicide attempters come to emergency room.

Keyword

Bipolar disorder; Depression; Suicide ideation; Suicide attempted; Emergency room

MeSH Terms

Bipolar Disorder*
Depression
Emergencies*
Emergency Service, Hospital*
Humans
Mood Disorders
Suicide