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P-170 - Temperament Pattern is Related to Suicide Risk in 346 Patients With Major Mood Disorders

Published online by Cambridge University Press:  15 April 2020

G. Dominici ,
M. Innamorati ,
Z. Rihmer ,
X. Gonda ,
G. Serafini ,
H. Akiskal ,
M. Pompili  and
P. Girardi
G. Dominici
Affiliation:
Mental Health and Sensory Functions, Suicide Prevention Center, Sant’ Andrea Hospital, Sapienza University of Rome, Rome, Italy
M. Innamorati
Affiliation:
Mental Health and Sensory Functions, Suicide Prevention Center, Sant’ Andrea Hospital, Sapienza University of Rome, Rome, Italy
Z. Rihmer
Affiliation:
Department of Clinical and Theoretical Mental Health, Faculty of Medicine, Semmelweis University, Budapest, Hungary
X. Gonda
Affiliation:
Department of Clinical and Theoretical Mental Health, Faculty of Medicine, Semmelweis University, Budapest, Hungary
G. Serafini
Affiliation:
Mental Health and Sensory Functions, Suicide Prevention Center, Sant’ Andrea Hospital, Sapienza University of Rome, Rome, Italy
H. Akiskal
Affiliation:
International Mood Center, La Jolla San Diego Veterans Administration Medical Center, San Diego, CA
M. Pompili
Affiliation:
Mental Health and Sensory Functions, Suicide Prevention Center, Sant’ Andrea Hospital, Sapienza University of Rome, Rome, Italy McLean Hospital, Harvard Medical School, Boston, MA, USA
P. Girardi
Affiliation:
Mental Health and Sensory Functions, Suicide Prevention Center, Sant’ Andrea Hospital, Sapienza University of Rome, Rome, Italy

Abstract

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Aims

The aim of the study was to investigate the relationship between the individual pattern of affective temperaments, non-typical symptoms of depression as measured with the Gotland Scale for Male Depression (GSMD), hopelessness and suicidal behavior in major mood disorder patients.

Methods

Participants were 346 adult inpatients (151 men and 195 women) with major mood disorders consecutively admitted to the Department of Psychiatry of the Sant'Andrea University Hospital in Rome, Italy. All the patients were administered the TEMPS-A, the GSMD, and the Beck Hopelessness Scale (BHS) and the Mini International Neuropsychiatric Interview (MINI).

Results

A Two Step Cluster Analysis procedure, performed to reveal natural groupings within patients' response set, indicated that there were 2-groups: a cyclothymic-depressive-anxious group and a hyperthymic group. More than 81% of the patients with prevailing cyclothymic-depressive-anxious temperament had mild to severe suicidal risk on the MINI vs. only around 42% of the patients with prevailing hyperthymic temperament., Sixty-four percent of patients with prevailing cyclothymic-depressive-anxious temperament had BHS scores of 9 or higher versus only 13% of patients with prevailing hyperthymic temperament. Also, patients with prevailing cyclothymic-depressive-anxious temperament more likely had higher GSMD than patients with prevailing hyperthymic temperament.

Discussion and conclusions

Our results indicate that affective temperament measure along with Gotland Scale for Male Depression could be useful tools in screening and identifying those affective disorder patients who are at higher risk of suicidal behavior.

Type
Abstract
Information
European Psychiatry , Volume 27 , Issue S1: Abstracts of the 20th European Congress of Psychiatry , 2012 , pp. 1
Copyright
Copyright © European Psychiatric Association 2012
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