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P0143 - Temperament in suicidal and non-suicidal psychiatric inpatients

Published online by Cambridge University Press:  16 April 2020

M. Pompili
Affiliation:
Department of Psychiatry, San'Andrea Hospital, Rome, Italy McLean Hospital, Harvard Medical School, Cambridge, MA, USA
M. Innamorati
Affiliation:
Università Europea Di Roma, Rome, Italy
Z. Rihmer
Affiliation:
National Institute for Psychiatry and Neurology, Budapest, and Department of Psychiatry and Psychotherapy, Semmelweis Medical University, Budapest, Hungary
H. Akiskal
Affiliation:
International Mood Center, la Jolla, CA, USA
A. Del Casale
Affiliation:
Department of Psychiatry, San'Andrea Hospital, Rome, Italy
C. Ferrara
Affiliation:
Department of Psychiatry, San'Andrea Hospital, Rome, Italy
G. Ardenghi
Affiliation:
Department of Psychiatry, San'Andrea Hospital, Rome, Italy
S. Volterri
Affiliation:
Department of Psychiatry, San'Andrea Hospital, Rome, Italy
F. Gentili
Affiliation:
Department of Psychiatry, San'Andrea Hospital, Rome, Italy
D Erbuto
Affiliation:
Department of Psychiatry, San'Andrea Hospital, Rome, Italy
E. De Marinis
Affiliation:
Department of Psychiatry, San'Andrea Hospital, Rome, Italy
G. Manfredi
Affiliation:
Department of Psychiatry, San'Andrea Hospital, Rome, Italy
A. Grispini
Affiliation:
Department of Psychiatry, San'Andrea Hospital, Rome, Italy
A. Celentano
Affiliation:
Department of Psychiatry, San'Andrea Hospital, Rome, Italy
M. Angelone
Affiliation:
Department of Psychiatry, San'Andrea Hospital, Rome, Italy
V. Narciso
Affiliation:
Department of Psychiatry, San'Andrea Hospital, Rome, Italy
P. Girardi
Affiliation:
Department of Psychiatry, San'Andrea Hospital, Rome, Italy
R. Tatarelli
Affiliation:
Department of Psychiatry, San'Andrea Hospital, Rome, Italy
I. Falcone
Affiliation:
Department of Psychiatry, San'Andrea Hospital, Rome, Italy
C. Comazzetto
Affiliation:
Department of Psychiatry, San'Andrea Hospital, Rome, Italy

Abstract

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Suicide is a serious public health problem. In the international literature there is evidence to support the notion that certain temperaments and personality traits are often associated with suicidal behavior. In this study, 150 psychiatric inpatients were investigated using the TEMPS-A, the MMPI-2 and the Beck Hopelessness Scale (BHS) and evaluated for suicide risk through the critical items of the Mini International Neuropsychiatric Interview (MINI). Statistical analysis, including linear regression analysis and multiple regression analysis, showed that suicide risk contributed to the prediction of hopelessness. Among the temperaments, only the Hyperthymic temperament, as a protective factor, and the Dys/Cyc/Anx temperament contributed significantly to the prediction of hopelessness. Irritable temperament and Social Introversion were protective factors for suicidal risk. Hopelessness and depression were associated with higher suicidal behavior and ideation, but, unexpectedly, depression as measured by the MMPI did not contribute significant to the multiple regression.. The present study indicated that, although suicidal psychiatric patients have MMPI-2’s profiles in the pathologic range, they exhibit several differences from nonsuicidal patients. Patients at risk of suicide have specific temperaments as well as personality and defense mechanism profiles. They are more social introverted, depressed and psychasthenic, and use hysterical and schizoid mechanisms more often. Generalizability of the findings was limited by the small sample size, mix of BPD-I, BPD-II, MDD and psychotic disorder patients.

Type
Poster Session II: Bipolar Disorders
Copyright
Copyright © European Psychiatric Association 2008
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