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Suicide and no axis I psychopathology

BACKGROUND: It is unclear why approximately 10% of suicide completers seem to be psychiatrically normal. To better understand this issue, we studied suicide completers without an axis I diagnosis and compared them, on measures of psychopathology other than axis I, to normal controls and suicide case...

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Autores principales: Ernst, Carl, Lalovic, Aleksandra, Lesage, Alain, Seguin, Monique, Tousignant, Michel, Turecki, Gustavo
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2004
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC400739/
https://www.ncbi.nlm.nih.gov/pubmed/15053834
http://dx.doi.org/10.1186/1471-244X-4-7
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author Ernst, Carl
Lalovic, Aleksandra
Lesage, Alain
Seguin, Monique
Tousignant, Michel
Turecki, Gustavo
author_facet Ernst, Carl
Lalovic, Aleksandra
Lesage, Alain
Seguin, Monique
Tousignant, Michel
Turecki, Gustavo
author_sort Ernst, Carl
collection PubMed
description BACKGROUND: It is unclear why approximately 10% of suicide completers seem to be psychiatrically normal. To better understand this issue, we studied suicide completers without an axis I diagnosis and compared them, on measures of psychopathology other than axis I, to normal controls and suicide cases with axis I psychopathology. METHODS: 168 suicide cases were examined by way of a psychological autopsy with the best possible informant. Sixteen cases did not meet criteria for an axis I diagnosis; each of these cases was then age and gender matched to 52 suicide completers with an axis I disorder and 110 normal controls. RESULTS: Fourteen of sixteen suicide cases without an axis I diagnosis had detectable abnormalities that were more similar to the axis I diagnosed suicide group than to a living group. Both suicide groups were similar in the total number of past suicide attempts, the total number of individuals with an axis II disorder, and similar scores on measures of impulsive-aggressive behaviors. CONCLUSIONS: These findings suggest that most of the individuals who committed suicide and appeared psychiatrically normal after a psychological autopsy may probably have an underlying psychiatric process that the psychological autopsy method, as commonly carried out, failed to detect.
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spelling pubmed-4007392004-05-02 Suicide and no axis I psychopathology Ernst, Carl Lalovic, Aleksandra Lesage, Alain Seguin, Monique Tousignant, Michel Turecki, Gustavo BMC Psychiatry Research Article BACKGROUND: It is unclear why approximately 10% of suicide completers seem to be psychiatrically normal. To better understand this issue, we studied suicide completers without an axis I diagnosis and compared them, on measures of psychopathology other than axis I, to normal controls and suicide cases with axis I psychopathology. METHODS: 168 suicide cases were examined by way of a psychological autopsy with the best possible informant. Sixteen cases did not meet criteria for an axis I diagnosis; each of these cases was then age and gender matched to 52 suicide completers with an axis I disorder and 110 normal controls. RESULTS: Fourteen of sixteen suicide cases without an axis I diagnosis had detectable abnormalities that were more similar to the axis I diagnosed suicide group than to a living group. Both suicide groups were similar in the total number of past suicide attempts, the total number of individuals with an axis II disorder, and similar scores on measures of impulsive-aggressive behaviors. CONCLUSIONS: These findings suggest that most of the individuals who committed suicide and appeared psychiatrically normal after a psychological autopsy may probably have an underlying psychiatric process that the psychological autopsy method, as commonly carried out, failed to detect. BioMed Central 2004-03-30 /pmc/articles/PMC400739/ /pubmed/15053834 http://dx.doi.org/10.1186/1471-244X-4-7 Text en Copyright © 2004 Ernst et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.
spellingShingle Research Article
Ernst, Carl
Lalovic, Aleksandra
Lesage, Alain
Seguin, Monique
Tousignant, Michel
Turecki, Gustavo
Suicide and no axis I psychopathology
title Suicide and no axis I psychopathology
title_full Suicide and no axis I psychopathology
title_fullStr Suicide and no axis I psychopathology
title_full_unstemmed Suicide and no axis I psychopathology
title_short Suicide and no axis I psychopathology
title_sort suicide and no axis i psychopathology
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC400739/
https://www.ncbi.nlm.nih.gov/pubmed/15053834
http://dx.doi.org/10.1186/1471-244X-4-7
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