Suicidality and its association with insight and neurocognition in Taiwanese patients with bipolar i disorder in remission

Cheng Fang Yen, Chung Ping Cheng, Chih Hung Ko, Ju Yu Yen, Chi Fen Huang, Cheng Sheng Chen

Research output: Contribution to journalArticlepeer-review

21 Citations (Scopus)

Abstract

The aims of this study were to examine the relationships between suicidality, insight, and neurocognition in patients with bipolar I disorder who were in a remitted state. Using the Violence and Suicide Assessment Scale, we evaluated 96 patients with bipolar I disorder in remission to determine their suicidal ideations and attempts over the previous year. We also evaluated their level of insight by using the Schedule of Assessment of Insight (SAI) and its expanded version (SAI-E), as well as their neurocognitive function by a series of neurocognitive function tests. Insight and neurocognitive functions of bipolar subjects who had and who had no suicidal ideations or attempts over the previous year were compared. The results indicated that the remitted bipolar subjects who had suicidal ideations or attempts over the previous year had higher insight scores on all 3 SAI dimensions and on the SAI-E compared with those who had no suicidal ideations or attempts. However, no difference in any neurocognitive function was found between the 2 groups of remitted bipolar subjects. The results of this study suggest clinicians need to be particularly alert to the potential for suicide in bipolar patients with a high level of insight.

Original languageEnglish
Pages (from-to)462-467
Number of pages6
JournalJournal of Nervous and Mental Disease
Volume196
Issue number6
DOIs
Publication statusPublished - 2008 Jun

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health

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