The role of impulsivity in self-mutilators, suicide ideators and suicide attempters — A study of 1265 male incarcerated individuals

Carli, Vladimir; Jovanović, Nikolina; Podlešek, Anja; Roy, Alec; Rihmer, Zoltán; Maggi, Stefania; Marušič, Dragan; Cesaro, Caterina; Marušič, Andrej; Sarchiapone, Marco

doi:10.1016/j.jad.2010.02.119

Cited by 88 publications

(77 citation statements)

References 29 publications

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“…Thus impulsivity may not be a reliable predictor of suicide risk in BD and MDD patients, at least when evaluated as a single trait. This is concordant with recent studies suggesting that impulsivity alone may not be the only predictor of SB (Carli et al, 2010) and that aggression should be part of the construct associated with SB (Mann et al, 2009). Indeed, in a small sample of BD subjects, Oquendo et al (2000) found higher lifetime aggression in attempters than in non-attempters, but no difference in lifetime impulsivity as assessed by BIS, whereas Michaelis et al (2004) reported higher levels of overall hostility and a trend toward higher impulsivity in BD attempters compared to BD non-attempters.…”

Section: Discussionsupporting

confidence: 92%

Impulsivity, aggression and suicidal behavior in unipolar and bipolar disorders

Perroud

Baud

Mouthon

et al. 2011

Journal of Affective Disorders

138

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Background: Predictors of suicidal behaviors (SB) in bipolar (BD) and major depressive disorder (MDD) patients are poorly understood. It has been recognized that behavioral dysregulation characterizes SB with traits of impulsivity and aggression being particularly salient. However, little is known about how these traits are segregated among mood disorder patients with and without a history of suicide attempt (SA). Methods: This article aims to compare impulsivity and aggression between 143 controls, 138 BD and 186 MDD subjects with or without a history of SA. Results: BD and MDD patients showed higher impulsivity scores (BIS-10 = 57.9 vs. 44.7, p b 0.0001) and more severe lifetime aggression than controls (Lifetime History of Aggression = 7.3 vs. 3.9, p b 0.0001). Whereas impulsivity helped to distinguish MDD subjects without a history of SA from those with such a history, this was not the case in BD subjects where no difference in impulsive traits was observed between BD without and with history of SA (57.2 vs. 63.2 for BIS-10; p = 0.259). Impulsive and aggressive traits were strongly correlated in suicide attempters (independently of the diagnosis) but not in non-suicide attempters. Limitations: Dimensional traits were not characterized at different stages of illness. Conclusions: Impulsivity, as a single trait, may be a reliable suicide risk marker in MDD but not in BD patients, and its strong correlation with aggressive traits seems specifically related to SB. Our study therefore suggests that the specific dimension of impulsive aggression should be systematically assessed in mood disorder patients to address properly their suicidal risk.

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Section: Discussionsupporting

confidence: 92%

Impulsivity, aggression and suicidal behavior in unipolar and bipolar disorders

Perroud

Baud

Mouthon

et al. 2011

Journal of Affective Disorders

138

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“…Gorodetsky et al, 2014), while mean scores of the violent group were higher than male prisoners. With regard to the BDHI, the mean scores in the control group were similar to those found in psychiatric inpatients (Dell' Osso et al, 2013), while the violent group scored similar to male prisoners (Carli et al, 2010). Finally, STAXI-2 mean scores of violent and control groups overlapped with mean scores found in the general population sample enrolled for the Italian validation study (Comunian, 2004).…”

Section: Impulsiveness and Aggressivenesssupporting

confidence: 66%

Monitoring and predicting the risk of violence in residential facilities. No difference between patients with history or with no history of violence

Girolamo¹,

Buizza

Sisti

et al. 2016

Journal of Psychiatric Research

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a b s t r a c tBackground: Most people with mental disorders are not violent. However, the lack of specific studies in this area and recent radical changes in Italy, including the closure of six Forensic Mental Hospitals, has prompted a more detailed investigation of patients with aggressive behaviour. Aims: To compare socio-demographic, clinical and treatment-related characteristics of long-term inpatients with a lifetime history of serious violence with controls; to identify predictors of verbal and physical aggressive behaviour during 1-year follow-up. Methods: In a prospective cohort study, patients living in Residential Facilities (RFs) with a lifetime history of serious violence were assessed with a large set of standardized instruments and compared to patients with no violent history. Patients were evaluated bi-monthly with MOAS in order to monitor any aggressive behaviour. Results: The sample included 139 inpatients, 82 violent and 57 control subjects; most patients were male. The bi-monthly monitoring during the 1-year follow-up did not show any statistically significant differences in aggressive behaviour rates between the two groups. The subscale explaining most of the MOAS total score was aggression against objects, although verbal aggression was the most common pattern. Furthermore, verbal aggression was significantly associated with aggression against objects and physical aggression. Conclusions: Patients with a history of violence in RFs, where treatment and clinical supervision are available, do not show higher rates of aggressiveness compared to patients with no lifetime history of violence. Since verbal aggression is associated with more severe forms of aggression, prompt intervention is warranted to reduce the risk of escalation.

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“…Dans une étude portant sur la prévalence des troubles mentaux chez les détenus, Teplin, Abram et McClelland (1996) ont trouvé que 75 % d'entre eux avaient un trouble d'abus de substance. Dans le cadre d'une autre étude réalisée auprès de 1265 prisonniers, le trouble lié à l'utilisation de substance s'est avéré être le trouble clinique de santé mentale le plus fortement représenté dans l'échantillon (Carli et al, 2010). En lien avec le suicide, Shaw et ses collègues (2004) ont démontré que la dépendance aux drogues était le trouble le plus commun chez les détenus décédés par suicide.…”

Section: Mots Clés • Prison Tentative De Suicide Tdah Santé Mentaleunclassified

Troubles mentaux et tentatives de suicide chez les détenus. Le rôle du trouble du déficit de l’attention avec hyperactivité

Wright

Brouillard

Daigle

et al. 2015

crimino

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The role of impulsivity in self-mutilators, suicide ideators and suicide attempters — A study of 1265 male incarcerated individuals

Cited by 88 publications

References 29 publications

Impulsivity, aggression and suicidal behavior in unipolar and bipolar disorders

Impulsivity, aggression and suicidal behavior in unipolar and bipolar disorders

Monitoring and predicting the risk of violence in residential facilities. No difference between patients with history or with no history of violence

Troubles mentaux et tentatives de suicide chez les détenus. Le rôle du trouble du déficit de l’attention avec hyperactivité

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