Some Bipolar Patients
Have Higher Suicide Risk
(November 22, 2007) -- NEW YORK (Reuters Health) - Having a family member
who
committed suicide triples the likelihood that patients with
bipolar disorder will themselves attempt suicide, a new study shows.
Family history of suicide also increases the suicide risk for people with
other types of
mental illness, Dr. Eduard Vieta of the University of Barcelona in
Spain, one of the study's authors, told Reuters Health.
But this inherited risk should not be seen as fate, but as an opportunity
for prevention, he added. "There is room for action, which is important in
terms of education."
Two previous studies identified an increased suicide risk in bipolar
patients with a family history of suicide, Vieta and his colleagues note in
their report in the Journal of Clinical Psychiatry, but these studies used
data from medical records rather than face-to-face psychiatric evaluation of
patients.
To further investigate the link, his team evaluated 374 men and women,
ranging in age from 19 to 88 years, who met standard criteria for a
diagnosis of bipolar illness. Forty-eight of these patients had a family
member who had committed suicide.
People with a family history of suicide were more likely to have
anxiety-related personality traits than those who did not. More than 52
percent of the family-history patients reported a suicide attempt compared
with 26 percent of patients with no family history of suicide.
"These findings underscore the importance of identifying patients with a
family history of suicide in order to provide prompt treatment and careful
follow-up," the researchers conclude.
Suicide should be thought of as a complication of mental illness, just as
death from a heart attack is seen as a risk for people with cardiovascular
disease, Vieta noted.
"There is a lot of room for prevention if clinicians are aware and people
are aware that some people are at higher risk of suicide than others," Vieta
said. Even though genes may largely be responsible for the inheritability of
suicidal tendencies, he added, "we still have some free will. Genetics
doesn't mean that you are impelled to do what your genes tell you to do."
By: Anne Harding
Source: Reuters
Last updated: 11/07
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