PMID- 14671739
OWN - NLM
STAT- MEDLINE
DCOM- 20040707
LR  - 20221207
IS  - 0010-440X (Print)
IS  - 0010-440X (Linking)
VI  - 45
IP  - 1
DP  - 2004 Jan-Feb
TI  - Cincinnati criteria for mixed mania and suicidality in patients with acute mania.
PG  - 62-9
AB  - The association between suicidality and diagnoses of mixed mania, as defined 
      using both DSM-IV and Cincinnati criteria, was studied in 576 consecutive manic 
      inpatients. Of the whole sample, 51 (8.9%) had suicidal ideation and 13 (2.3%) 
      attempted suicide during the index episode. Suicidality was significantly more 
      frequent in patients with a diagnosis of mixed mania, whether the diagnosis was 
      made by DSM-IV or Cincinnati criteria. A multiple logistic regression analysis 
      revealed that an additive combination of a diagnosis of mixed mania, the 
      depression severity, and the Global Assessment of Functioning (GAF) score was 
      significant in predicting suicidal ideation, when using the DSM-IV criteria. A 
      diagnosis of mixed mania alone was significant in a similar analysis, when using 
      the Cincinnati criteria. The adjusted odds ratio for a diagnosis of mixed mania 
      to having suicidality was much higher when using the latter criteria (4.0 v 
      14.0). A subsequent logistic regression analysis indicated that the Cincinnati 
      mixed mania alone, rather than an additive combination of the DSM-IV mixed mania 
      and the depression severity, achieved the most appropriate prediction of suicidal 
      ideation in the sample. These findings did not differ, even when suicidality was 
      defined as having a suicide attempt during the index episode. Our finding that 
      suicidality was more strongly associated with Cincinnati mixed mania than with 
      DSM-IV mixed mania is probably due to that suicidal patients who do not meet 
      DSM-IV criteria for mixed mania are classified into mixed mania, or/and that the 
      depressive syndrome, related to suicidality, is more appropriately assessed among 
      manic patients, when using the Cincinnati criteria. There was no evidence that 
      marital status, employment, a lifetime history of alcohol or substance abuse, or 
      a history of suicide attempts before the index episode was significantly 
      associated with suicidality in the sample. Manic patients with suicidality may 
      have a greater severity of residual depressive symptoms at discharge.
FAU - Sato, Tetsuya
AU  - Sato T
AD  - Psychiatrische Klinik und Poliklinik, Ludwig-Maximilians-Universitat, Munchen, 
      Germany.
FAU - Bottlender, Ronald
AU  - Bottlender R
FAU - Tanabe, Akira
AU  - Tanabe A
FAU - Moller, Hans-Jurgen
AU  - Moller HJ
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Compr Psychiatry
JT  - Comprehensive psychiatry
JID - 0372612
SB  - IM
MH  - Acute Disease
MH  - Adult
MH  - Bipolar Disorder/*diagnosis/epidemiology/psychology
MH  - Depressive Disorder/diagnosis/epidemiology/psychology
MH  - Diagnostic and Statistical Manual of Mental Disorders
MH  - Female
MH  - Germany
MH  - Humans
MH  - International Classification of Diseases
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Odds Ratio
MH  - Patient Admission
MH  - Personality Assessment/*statistics & numerical data
MH  - Psychometrics/statistics & numerical data
MH  - Reproducibility of Results
MH  - Risk Assessment/statistics & numerical data
MH  - Suicide/*psychology/statistics & numerical data
MH  - Suicide, Attempted/*psychology/statistics & numerical data
MH  - Suicide Prevention
EDAT- 2003/12/13 05:00
MHDA- 2004/07/09 05:00
CRDT- 2003/12/13 05:00
PHST- 2003/12/13 05:00 [pubmed]
PHST- 2004/07/09 05:00 [medline]
PHST- 2003/12/13 05:00 [entrez]
AID - S0010440X03001457 [pii]
AID - 10.1016/S0010-440X(03)00145-7 [doi]
PST - ppublish
SO  - Compr Psychiatry. 2004 Jan-Feb;45(1):62-9. doi: 10.1016/S0010-440X(03)00145-7.