Sex differences in clinical predictors of suicidal acts after major depression: a prospective study.
paper
Cited
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- Authors
- Oquendo, Maria A; Bongiovi-Garcia, Mary E; Galfalvy, Hanga; Goldberg, Pablo H; Grunebaum, Michael F; Burke, Ainsley K; Mann, J John
- Year
- 2007
- Journal
- The American journal of psychiatry
- PMID
- 17202555
- DOI
- 10.1176/ajp.2007.164.1.134
- PMCID
- PMC3785095
OBJECTIVE: Whether sex differences exist in clinical risk factors associated with suicidal behavior is unknown. The authors postulated that among men with a major depressive episode, aggression, hostility, and history of substance misuse increase risk for future suicidal behavior, while depressive symptoms, childhood history of abuse, fewer reasons for living, and borderline personality disorder do so in depressed women. METHOD: Patients with DSM-III-R major depression or bipolar disorder seeking treatment for a major depressive episode (N=314) were followed for 2 years. Putative predictors were tested with Cox proportional hazards regression analysis. RESULTS: During follow-up, 16.6% of the patients attempted or committed suicide. Family history of suicidal acts, past drug use, cigarette smoking, borderline personality disorder, and early parental separation each more than tripled the risk of future suicidal acts in men. For women, the risk for future suicidal acts was sixfold greater for prior suicide attempters; each past attempt increased future risk threefold. Suicidal ideation, lethality of past attempts, hostility, subjective depressive symptoms, fewer reasons for living, comorbid borderline personality disorder, and cigarette smoking also increased the risk of future suicidal acts for women. CONCLUSIONS: These findings suggest that the importance of risk factors for suicidal acts differs in depressed men and women. This knowledge may improve suicide risk evaluation and guide future research on suicide assessment and prevention.
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| Title | Authors | Journal | Year | Link |
|---|---|---|---|---|
| Brooding, reflection, and anger rumination in late life suicidal behavior. | Buerke M et al. | β | 2025 | β |
| Exploring Gender Differences in the Relationship Between Thyroid Function and Aggressive and Impulsive Behaviors in Patients with Major Depressive Disorder. | Zhao S et al. | β | 2025 | β |
| Mental Health Diagnoses and Suicidality Among Transgender Youth in Hospital Settings. | Nunes-Moreno M et al. | β | 2025 | β |
| Prevalence, incidence, and Disability-Adjusted Life Years of self-harm and suicide mortality in the Middle East and North Africa: a sex-specific study based on Global Burden of Disease. | Khan MA et al. | β | 2025 | β |
| Risk factors for violent suicide attempts: Hungarian cross-sectional study. | Szeifert N et al. | β | 2025 | β |
| Unique relations of avoidant, emotion, and problem focused coping and suicidality in a sample of sexual and gender minorities. | Clausen BK et al. | β | 2025 | β |
| A network study to differentiate suicide attempt risk profiles in male and female patients with major depressive disorder. | Sarti P et al. | β | 2024 | β |
| A novel prediction model for the probability of aggressive behavior in patients with mood disorders: Based on a cohort study. | Yu X et al. | β | 2024 | β |
| Is Social Connection the Solution for Reducing Widower Suicide in Late Life? | Szanto K et al. | β | 2024 | β |
| Prevalence and factors associated with suicidal ideation and attempts among war-affected internally displaced people in northwest Ethiopia, 2022. | Tadesse G et al. | β | 2024 | β |
| Reasons to Live During a Suicidal Crisis: A Case Series With Suicidal Inpatients. | Besch V et al. | β | 2024 | β |
| Sociodemographic and environmental characteristics associated with thoughts of death and suicidal ideation in community-dwelling residents of a rural town in Japan: analyses from a perspective of accompanying problems. | Morikawa K et al. | β | 2024 | β |
| Validity, Reliability, and Factor Structure of the Suicide Crisis Scale in Turkish. | Ferzan ErgΓΌn F et al. | β | 2024 | β |
| Factors associated with lifetime suicide attempts: findings from the bipolar disorder course and outcome study from India (BiD-CoIN study). | Grover S et al. | β | 2023 | β |
| Mood Disorders and Aggressive Traits Mediate Effects of Reported Childhood Adversity on Suicide Attempt Risk. | Rabbany JM et al. | β | 2023 | β |
| Risk of suicide attempts and self-harm after 1.4 million general medical hospitalizations of men with mental illness. | Thiruvalluru RK et al. | β | 2023 | β |
| Shared genetic and environmental etiology between substance use disorders and suicidal behavior. | Edwards AC et al. | β | 2023 | β |
| Suicide rates among people with serious mental illness: a systematic review and meta-analysis. | Fu XL et al. | β | 2023 | β |
| The Burden of Suicide Mortality in Poland: A 20-Year Register-Based Study (2000-2019). | Pikala M et al. | β | 2023 | β |
| The neural basis underlying female vulnerability to depressive disorders. | Kim M et al. | β | 2023 | β |
| A Computational Model of Hopelessness and Active-Escape Bias in Suicidality. | Karvelis P et al. | β | 2022 | β |
| Adolescents hospitalised for suicidality: biomarkers, social and affective predictors: a cohort study. | Nugent NR et al. | β | 2022 | β |
| Global economic uncertainty and suicide: Worldwide evidence. | Claveria O | β | 2022 | β |
| Why are women more likely to attempt suicide than men? Analysis of lifetime suicide attempts among US adults in a nationally representative sample. | Bommersbach TJ et al. | β | 2022 | β |
| A systematic review of suicidal behaviour in men: A narrative synthesis of risk factors. | Richardson C et al. | β | 2021 | β |
| Incidence Trends and Risk Prediction Nomogram for Suicidal Attempts in Patients With Major Depressive Disorder. | Liang S et al. | β | 2021 | β |
| Internalizing and externalizing symptoms and aggression and violence in men and women. | Mendez B et al. | β | 2021 | β |
| Maladaptive personality traits and the course of suicidal ideation in young adults with bipolar disorder: Cross-sectional and prospective approaches. | Kudinova AY et al. | β | 2021 | β |
| Wish to Die: Suicide and Its Link to Euthanasia. | Costa-Maia I et al. | β | 2021 | β |
| Cigarette smoking dose-response and suicidal ideation among young people in Nepal: a cross-sectional study. | Sathian B et al. | β | 2020 | β |
| Do Suicide Attempts of Mood Disorder Patients Directly Increase the Risk for a Reattempt? | Aaltonen KI et al. | β | 2020 | β |
| Evidence-Based Interventions for Youth Suicide Risk. | Busby DR et al. | β | 2020 | β |
| Limitation on activities of daily living, depressive symptoms and suicidal ideation among nursing home residents: The moderating role of resilience. | Wang R et al. | β | 2020 | β |
| Predictors of serious suicidal behavior in late-life depression. | Szanto K et al. | β | 2020 | β |
| Problematic Internet use and the risk of suicide ideation in Chinese adolescents: A cross-sectional analysis. | Huang Y et al. | β | 2020 | β |
| Psychosocial mediators of perceived stigma and suicidal ideation among transgender women. | Kota KK et al. | β | 2020 | β |
| Sex and gender differences and biases in artificial intelligence for biomedicine and healthcare. | Cirillo D et al. | β | 2020 | β |
| Association between completed suicide and bipolar disorder: A systematic review of the literature. | Plans L et al. | β | 2019 | β |
| Association between personality traits and risk of suicidal ideation in Chinese university students: Analysis of the correlation among five personalities. | Huang Y et al. | β | 2019 | β |
| Interaction between prospective risk factors in the prediction of suicide risk. | Grendas LN et al. | β | 2019 | β |
| Nicotine Dependence and Pre-Enlistment Suicidal Behavior Among U.S. Army Soldiers. | Campbell-Sills L et al. | β | 2019 | β |
| Risk factors for suicide in depression in Finland: first-hospitalized patients followed up to 24Β years. | Aaltonen KI et al. | β | 2019 | β |
| Suicidal thoughts and attempts in First Nations communities: links to parental Indian residential school attendance across development. | Bombay A et al. | β | 2019 | β |
| Years of life lost due to diseases of the digestive system in Poland according to socioeconomic factors: a cross-sectional study. | Paciej-GoΕΔbiowska P et al. | β | 2019 | β |
| Accounting for Diversity in Suicide Research: Sampling and Sample Reporting Practices in the United States. | Cha CB et al. | β | 2018 | β |
| Ancestry and different rates of suicide and homicide in European countries: A study with population-level data. | Fountoulakis KN et al. | β | 2018 | β |
| Are comorbid anxiety disorders a risk factor for suicide attempts in patients with mood disorders? A two-year prospective study. | Abreu LN et al. | β | 2018 | β |
| Early-onset tobacco use and suicide-related behavior - A prospective study from adolescence to young adulthood. | Korhonen T et al. | β | 2018 | β |
| ". . . If You're Not Part of the Institution You Fall by the Wayside": Service Providers' Perspectives on Moving Young Men From Disconnection and Isolation to Connection and Belonging. | Grace B et al. | β | 2018 | β |
| Is externalizing psychopathology a robust risk factor for suicidal thoughts and behaviors? A meta-analysis of longitudinal studies. | Witte TK et al. | β | 2018 | β |
| Peer victimization and suicidal ideation: The role of gender and depression in a school-based sample. | Fredrick SS et al. | β | 2018 | β |
| Relationship between mortality in people with mental disorders and suicide mortality in China during 2000 to 2014: An observational study. | Liang Y et al. | β | 2018 | β |
| Serotonin receptors and suicide, major depression, alcohol use disorder and reported early life adversity. | Underwood MD et al. | β | 2018 | β |
| Suicidal Risk and Affective Temperaments, Evaluated with the TEMPS-A Scale: A Systematic Review. | VΓ‘zquez GH et al. | β | 2018 | β |
| The Challenges of Predicting Suicidal Thoughts and Behaviours in a Sample of Rural Australians with Depression. | Handley T et al. | β | 2018 | β |
| Decomposing Socioeconomic Inequality Determinants in Suicide Deaths in Iran: A Concentration Index Approach. | Veisani Y et al. | β | 2017 | β |
| Depressed Multiple-Suicide-Attempters - A High-Risk Phenotype. | Sher L et al. | β | 2017 | β |
| Differential correlation of suicide and homicide rates according to geographical areas: A study with population-level data. | Fountoulakis KN et al. | β | 2017 | β |
| Factors determining the balance between the wish to die and the wish to live in older adults. | Bonnewyn A et al. | β | 2017 | β |
| Narcissistic Personality Disorder and suicidal behavior in mood disorders. | Coleman D et al. | β | 2017 | β |
| Subtypes of suicide attempters based on longitudinal childhood profiles of co-occurring depressive, anxious and aggressive behavior symptoms. | Hart SR et al. | β | 2017 | β |
| Suicide Risk Screening in Healthcare Settings: Identifying Males and Females at Risk. | King CA et al. | β | 2017 | β |
| Tobacco Use and 12-Month Suicidality Among Adults in the United States. | Han B et al. | β | 2017 | β |
| Anxiety and physical health problems increase the odds of women having more severe symptoms of depression. | Weiss SJ et al. | β | 2016 | β |
| Comorbidity between bipolar disorder and borderline personality disorder: Prevalence, explanatory theories, and clinical impact. | FrΓas Γ et al. | β | 2016 | β |
| Do reasons for living protect against suicidal thoughts and behaviors? A systematic review of the literature. | Bakhiyi CL et al. | β | 2016 | β |
| Educational inequalities in premature mortality in Poland, 2002-2011: a population-based cross-sectional study. | Pikala M et al. | β | 2016 | β |
| Ketamine for Treatment of Suicidal Ideation and Reduction of Risk for Suicidal Behavior. | Mallick F et al. | β | 2016 | β |
| Personality disorders and suicide attempts in unipolar and bipolar mood disorders. | JylhΓ€ P et al. | β | 2016 | β |
| Predictors of intimate partner problem-related suicides among suicide decedents in Kentucky. | Comiford AL et al. | β | 2016 | β |
| Victimization and suicidality among female college students. | Leone JM et al. | β | 2016 | β |
| Years of Life Lost due to Premature Mortality in a Province with the Shortest Life Expectancy in Poland. | BryΕa M et al. | β | 2016 | β |
| A Cross-National Tool for Assessing and Studying Suicidal Behaviors. | Lopez-Castroman J et al. | β | 2015 | β |
| Associations of racial/ethnic identities and religious affiliation with suicidal ideation among lesbian, gay, bisexual, and questioning individuals. | Lytle MC et al. | β | 2015 | β |
| Increased risk of suicide attempt in bipolar patients with severe tobacco dependence. | Ducasse D et al. | β | 2015 | β |
| Sex differences in glutamate receptor gene expression in major depression and suicide. | Gray AL et al. | β | 2015 | β |
| Suicide in women. | Vijayakumar L | β | 2015 | β |
| The german version of the painful and provocative events scale: a psychometric investigation. | Teismann T et al. | β | 2015 | β |
| Aggressiveness across development and suicidal behavior in depressed patients. | Carballo JJ et al. | β | 2014 | β |
| Associations between reasons for living and diminished suicide intent among African-American female suicide attempters. | Flowers KC et al. | β | 2014 | β |
| Cognitive traits in inpatient adolescents with and without prior suicide attempts and non-suicidal self-injury. | Tsafrir S et al. | β | 2014 | β |
| Life events: a complex role in the timing of suicidal behavior among depressed patients. | Oquendo MA et al. | β | 2014 | β |
| Reconsidering the link between impulsivity and suicidal behavior. | Anestis MD et al. | β | 2014 | β |
| Relationship of suicide rates to economic variables in Europe: 2000-2011. | Fountoulakis KN et al. | β | 2014 | β |
| Risk for suicidal behaviors associated with alcohol and energy drink use in the US Army. | Mash HB et al. | β | 2014 | β |
| Sociodemographic and clinical differences between suicide ideators and attempters: a study of mood disordered patients 50 years and older. | Pompili M et al. | β | 2014 | β |
| Suicidal behaviour in mood disorders--who, when, and why? | IsometsΓ€ E | β | 2014 | β |
| Suicidal thoughts and reasons for living in hospitalized patients with severe depression: post-hoc analyses of a double-blind randomized trial of duloxetine. | Demyttenaere K et al. | β | 2014 | β |
| Years of life lost due to external causes of death in the lodz province, poland. | Pikala M et al. | β | 2014 | β |
| Association between cigarette smoking and suicide in psychiatric inpatients. | Hooman S et al. | β | 2013 | β |
| Comorbidity of psychiatric and personality disorders in first suicide attempters: a case-control study. | Kulkarni RR et al. | β | 2013 | β |
| Early childhood sexual abuse increases suicidal intent. | Lopez-Castroman J et al. | β | 2013 | β |
| Epidemiology of suicide in bipolar disorders: a systematic review of the literature. | Pompili M et al. | β | 2013 | β |
| Follicle-stimulating hormone (FSH), current suicidal ideation and attempt in female patients with major depressive disorder. | Kim B et al. | β | 2013 | β |
| Gender and racial differences for suicide attempters and ideators in a high-risk community corrections population. | McCullumsmith CB et al. | β | 2013 | β |
| [Risk Factors for Suicidal Ideation in Patients with Depressive Disorders in Colombia]. | Castro-DΓaz S et al. | β | 2013 | β |
| Sex differences in clinical predictors of depression: a prospective study. | Oquendo MA et al. | β | 2013 | β |
| Suicide among soldiers: a review of psychosocial risk and protective factors. | Nock MK et al. | β | 2013 | β |
| The importance of high distress tolerance in the relationship between nonsuicidal self-injury and suicide potential. | Anestis MD et al. | β | 2013 | β |
| The prevalence of and psychosocial risks for suicide attempts in male and female college students in Taiwan. | Chou CH et al. | β | 2013 | β |
| Trends in suicidality amid the economic crisis in Greece. | Fountoulakis KN et al. | β | 2013 | β |
| Age of first suicide attempt in men and women: an admixture analysis. | Blasco-Fontecilla H et al. | β | 2012 | β |
| Assessment of risk factors related to suicide attempts in patients with bipolar disorder. | Song JY et al. | β | 2012 | β |
| Long term follow up of suicide in a clinically depressed community sample. | Thomson W | β | 2012 | β |
| Self-harm in patients with schizophrenia spectrum disorders. | Mork E et al. | β | 2012 | β |
| Sociodemographic and psychopathological risk factors in repeated suicide attempts: gender differences in a prospective study. | Monnin J et al. | β | 2012 | β |
| The gender paradox in suicidal behavior and its impact on the suicidal process. | Schrijvers DL et al. | β | 2012 | β |
| A guide for the assessment and treatment of suicidal patients with traumatic brain injuries. | Dennis JP et al. | β | 2011 | β |
| Estimating risk for suicide attempt: are we asking the right questions? Passive suicidal ideation as a marker for suicidal behavior. | Baca-Garcia E et al. | β | 2011 | β |
| Predictors of suicide relative to other deaths in patients with suicide attempts and suicide ideation: a 30-year prospective study. | Wenzel A et al. | β | 2011 | β |
| Prospective Predictors of Suicidal Ideation during Depressive Episodes among Older Adolescents and Young Adults. | Vrshek-Schallhorn S et al. | β | 2011 | β |
| Seasonal effects on depression risk and suicidal symptoms in postpartum women. | Sit D et al. | β | 2011 | β |
| Suicidal behavior among low-income, African American female victims of intimate terrorism and situational couple violence. | Leone JM | β | 2011 | β |
| Suicide prevention programs through community intervention. | Fountoulakis KN et al. | β | 2011 | β |
| The association between relationship markers of sexual orientation and suicide: Denmark, 1990-2001. | Mathy RM et al. | β | 2011 | β |
| The hidden health burden of environmental degradation: disease comorbidities and dryland salinity. | Speldewinde PC et al. | β | 2011 | β |
| The impact of the nature of relationships on perceived burdensomeness and suicide ideation in a community sample of older adults. | Jahn DR et al. | β | 2011 | β |
| Varenicline for tobacco dependence: panacea or plight? | Williams JM et al. | β | 2011 | β |
| X chromosome and suicide. | Fiori LM et al. | β | 2011 | β |
| Antecedents and patterns of suicide behavior in first-admission psychosis. | Bakst S et al. | β | 2010 | β |
| A population-based longitudinal study of risk factors for suicide attempts in major depressive disorder. | Bolton JM et al. | β | 2010 | β |
| Correlates and antecedents of hospital admission for attempted suicide: a nationwide survey in Italy. | Preti A et al. | β | 2010 | β |
| Depression and thoughts of death among disadvantaged mothers: risk factors and impact on maternal and child health. | Crandall M et al. | β | 2010 | β |
| Hyperthymic temperament may protect against suicidal ideation. | VΓ‘zquez GH et al. | β | 2010 | β |
| Increased risk for suicidal behavior in comorbid bipolar disorder and alcohol use disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). | Oquendo MA et al. | β | 2010 | β |
| Increased risk of suicidal ideation in smokers and former smokers compared to never smokers: evidence from the Baltimore ECA follow-up study. | Clarke DE et al. | β | 2010 | β |
| Regional brain metabolic correlates of self-reported depression severity contrasted with clinician ratings. | Milak MS et al. | β | 2010 | β |
| Relationships of suicide ideation with cause-specific mortality in a longitudinal study of South Koreans. | Khang YH et al. | β | 2010 | β |
| Antidepressants increase neural progenitor cells in the human hippocampus. | Boldrini M et al. | β | 2009 | β |
| Attempted suicide in reproductive age women. | Gomes FA et al. | β | 2009 | β |
| Birth order: self-injurious and suicidal behaviour among adolescents. | Kirkcaldy B et al. | β | 2009 | β |
| Cigarette smoking is associated with suicidality in bipolar disorder. | Ostacher MJ et al. | β | 2009 | β |
| Coffee and cigarette use: association with suicidal acts in 352 Sardinian bipolar disorder patients. | Baethge C et al. | β | 2009 | β |
| Defense mechanisms and suicide risk in major depression. | Hovanesian S et al. | β | 2009 | β |
| Do risk factors for suicidal behavior differ by affective disorder polarity? | Fiedorowicz JG et al. | β | 2009 | β |
| Longitudinal smoking habits as risk factors for early-onset and repetitive suicide attempts: the Northern Finland 1966 Birth Cohort study. | Riala K et al. | β | 2009 | β |
| Personality and attempted suicide. Analysis of anger, aggression and impulsivity. | Giegling I et al. | β | 2009 | β |
| Personality subtypes of suicidal adults. | Ortigo KM et al. | β | 2009 | β |
| Population-based prevalence of smoking in psychiatric inpatients: a focus on acute suicide risk and major diagnostic groups. | Lineberry TW et al. | β | 2009 | β |
| Psychotherapeutic intervention and suicide risk reduction in bipolar disorder: a review of the evidence. | Fountoulakis KN et al. | β | 2009 | β |
| [Relationship between depressive symptoms, hopelessness and suicidal ideation among 1547 high school students]. | Chabrol H et al. | β | 2009 | β |
| Suicidal behavior: The need for its documentation in multiaxial DSM-V diagnoses. | Pomara N | β | 2009 | β |
| Suicidal ideation and suicide attempts in bipolar disorder type I: an update for the clinician. | Abreu LN et al. | β | 2009 | β |
| Temperament and character personality profile in relation to suicidal ideation and suicide attempts in major depressed patients. | Conrad R et al. | β | 2009 | β |
| The association between smoking and subsequent suicide-related outcomes in the National Comorbidity Survey panel sample. | Kessler RC et al. | β | 2009 | β |
| The controversial link between antidepressants and suicidality risks in adults: data from a naturalistic study on a large sample of in-patients with a major depressive episode. | SeemΓΌller F et al. | β | 2009 | β |
| Assessing the wish to die: a 30-year review of the suicide intent scale. | Freedenthal S | β | 2008 | β |
| Elevated cytokine expression in the orbitofrontal cortex of victims of suicide. | Tonelli LH et al. | β | 2008 | β |
| Evaluation of clinical prognostic models for suicide attempts after a major depressive episode. | Galfalvy HC et al. | β | 2008 | β |
| Sex differences in correlates of suicide attempt lethality in late life. | Dombrovski AY et al. | β | 2008 | β |
| Suicidal behavior in young women. | Baca-Garcia E et al. | β | 2008 | β |
| The contemporary face of bipolar illness: complex diagnostic and therapeutic challenges. | Fountoulakis KN | β | 2008 | β |
| The role of moral objections to suicide in the assessment of suicidal patients. | Lizardi D et al. | β | 2008 | β |
| Borderline personality disorder: a comparison between children and adults. | Sharp C et al. | β | 2007 | β |
| The relationship of impulsive aggressiveness to suicidality and other depression-linked behaviors. | McGirr A et al. | β | 2007 | β |