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  • Suicide is a significant cause of mortality in patients with major affective disorders (MAD), and suicidal behavior and MAD co-aggregate in families. However, the transmission of suicidal behavior is partially independent from that of MAD. We analyzed the lifetime prevalence of completed and attempted suicides in a large sample of families with bipolar disorder (BD), its relation to family history of MAD and BD, and the contribution of clinical and treatment factors to the risk of suicidal behavior. We studied 737 families of probands with MAD with 4919 first-degree relatives (818 affected, 3948 unaffected, and 153 subjects with no information available). Lifetime psychiatric diagnoses and suicidal behavior in first-degree relatives were assessed using semi-structured interviews, family history methods, and reviews of clinical records. Cox proportional hazard and logistic regression models were used to investigate the role of clinical covariates in the risk of suicidal behavior, and in the prevalence of MAD and BD. The estimated lifetime prevalence of suicidal behavior (attempted and completed suicides) in 737 probands was 38.4 +/- 3.0%. Lithium treatment decreased suicide risk in probands (p = 0.007). In first-degree relatives, a family history of suicidal behavior contributed significantly to the joint risk of MAD and suicidal behavior (p = 0.0006). The liability to suicidal behavior is influenced by genetic factors (particularly family history of suicidal behavior and MAD). Even in the presence of high genetic risk for suicidal behavior, lithium treatment decreases suicide rates significantly.
  • Suicide is a significant cause of mortality in patients with major affective disorders (MAD), and suicidal behavior and MAD co-aggregate in families. However, the transmission of suicidal behavior is partially independent from that of MAD. We analyzed the lifetime prevalence of completed and attempted suicides in a large sample of families with bipolar disorder (BD), its relation to family history of MAD and BD, and the contribution of clinical and treatment factors to the risk of suicidal behavior. We studied 737 families of probands with MAD with 4919 first-degree relatives (818 affected, 3948 unaffected, and 153 subjects with no information available). Lifetime psychiatric diagnoses and suicidal behavior in first-degree relatives were assessed using semi-structured interviews, family history methods, and reviews of clinical records. Cox proportional hazard and logistic regression models were used to investigate the role of clinical covariates in the risk of suicidal behavior, and in the prevalence of MAD and BD. The estimated lifetime prevalence of suicidal behavior (attempted and completed suicides) in 737 probands was 38.4 +/- 3.0%. Lithium treatment decreased suicide risk in probands (p = 0.007). In first-degree relatives, a family history of suicidal behavior contributed significantly to the joint risk of MAD and suicidal behavior (p = 0.0006). The liability to suicidal behavior is influenced by genetic factors (particularly family history of suicidal behavior and MAD). Even in the presence of high genetic risk for suicidal behavior, lithium treatment decreases suicide rates significantly. (en)
Title
  • Genetic risk of suicidal behavior in bipolar spectrum disorder: analysis of 737 pedigrees
  • Genetic risk of suicidal behavior in bipolar spectrum disorder: analysis of 737 pedigrees (en)
skos:prefLabel
  • Genetic risk of suicidal behavior in bipolar spectrum disorder: analysis of 737 pedigrees
  • Genetic risk of suicidal behavior in bipolar spectrum disorder: analysis of 737 pedigrees (en)
skos:notation
  • RIV/00216208:11120/13:43908358!RIV14-MSM-11120___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • N
http://linked.open...iv/cisloPeriodika
  • 5
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 76393
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11120/13:43908358
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • treatment response; suicidal behavior; mood disorder; lithium; genetic risk; family study; bipolar disorder (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • GB - Spojené království Velké Británie a Severního Irska
http://linked.open...ontrolniKodProRIV
  • [17EB242AC04A]
http://linked.open...i/riv/nazevZdroje
  • Bipolar Disorders
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 15
http://linked.open...iv/tvurceVysledku
  • Alda, Martin
  • Hájek, Tomáš
  • Růžičková, Martina
  • O'Donovan, Claire
  • Chillotti, Caterina
  • Del Zompo, Maria
  • Manchia, Mirko
  • Deiana, Valeria
http://linked.open...ain/vavai/riv/wos
  • 000322774700004
issn
  • 1398-5647
number of pages
http://localhost/t...ganizacniJednotka
  • 11120
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