PMID- 26476155 OWN - NLM STAT- MEDLINE DCOM- 20160720 LR - 20220316 IS - 1573-2517 (Electronic) IS - 0165-0327 (Linking) VI - 190 DP - 2016 Jan 15 TI - Risk factors for suicide in bipolar I disorder in two prospectively studied cohorts. PG - 1-5 LID - S0165-0327(15)00471-1 [pii] LID - 10.1016/j.jad.2015.10.007 [doi] AB - BACKGROUND: These analyses were undertaken to determine whether similar risk factors for suicide emerged across two prospectively studied cohorts of individuals with bipolar I disorder. METHODS: The NIMH Collaborative Study of Depression (CDS) recruited 288 patients with bipolar I disorder from 1978-1981 as they sought treatment. Subjects were followed semiannually and then annually for up to 30 years. The Bipolar Genomics studies identified individuals through clinical referrals and advertisement. Clinical follow-up did not occur but personal identifiers of 1748 were matched with National Death Index (NDI) records. Kaplan-Meier survival analyses tested ten potential risk factors. RESULTS: The CDS and Genomic follow-ups encompassed 12,667 and 4529 person-years, respectively. Suicides/100 person-years were 0.26 and 0.055. The demographic or clinical variables that predicted suicide differed considerably in the two cohorts. The odds ratio for suicide for those with any history of suicide attempt was 2.3 and 2.8, respectively, and was the third highest odds ratio of the tested risk factors in both studies. CONCLUSIONS: Differences in the sources of participants in studies of suicide risk may result in marked differences across studies in both rates of suicide and in risk factors. A history of suicide attempt is a relatively robust risk factor across samples. CI - Copyright (c) 2015 Elsevier B.V. All rights reserved. FAU - Coryell, William AU - Coryell W AD - University of Iowa Carver College of Medicine, Department of Psychiatry, United States. Electronic address: william-coryell@uiowa.edu. FAU - Kriener, Abby AU - Kriener A AD - University of Iowa Carver College of Medicine, Department of Psychiatry, United States. FAU - Butcher, Brandon AU - Butcher B AD - University of Iowa Carver College of Medicine, Department of Psychiatry, United States. FAU - Nurnberger, John AU - Nurnberger J AD - Indiana University, Department of Psychiatry, United States. FAU - McMahon, Francis AU - McMahon F AD - Johns Hopkins University, Department of Psychiatry, United States. FAU - Berrettini, Wade AU - Berrettini W AD - University of Pennsylvania, Department of Psychiatry, United States. FAU - Fiedorowicz, Jess AU - Fiedorowicz J AD - University of Iowa Carver College of Medicine, Department of Psychiatry, United States. LA - eng GR - R01MH025416-33/MH/NIMH NIH HHS/United States GR - R01MH059548-09/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20151013 PL - Netherlands TA - J Affect Disord JT - Journal of affective disorders JID - 7906073 SB - IM MH - Adult MH - Bipolar Disorder/*mortality MH - Female MH - Humans MH - Kaplan-Meier Estimate MH - Male MH - Prospective Studies MH - Risk Factors MH - Suicide/*statistics & numerical data MH - Suicide, Attempted/statistics & numerical data MH - Young Adult OTO - NOTNLM OT - Bipolar disorder OT - Risk factors OT - Suicide OT - Suicide attempts EDAT- 2015/10/18 06:00 MHDA- 2016/07/21 06:00 CRDT- 2015/10/18 06:00 PHST- 2014/08/21 00:00 [received] PHST- 2015/03/25 00:00 [revised] PHST- 2015/10/02 00:00 [accepted] PHST- 2015/10/18 06:00 [entrez] PHST- 2015/10/18 06:00 [pubmed] PHST- 2016/07/21 06:00 [medline] AID - S0165-0327(15)00471-1 [pii] AID - 10.1016/j.jad.2015.10.007 [doi] PST - ppublish SO - J Affect Disord. 2016 Jan 15;190:1-5. doi: 10.1016/j.jad.2015.10.007. Epub 2015 Oct 13.