Associations between personality traits and suicidal ideation and suicide attempts in patients with personality disorders

Introduction: People with personality disorders (PDs) have an elevated suicide risk. However, correlates of suicidal ideation (SI) and suicide attempts (SA) remain largely unknown in this population. A growing body of literature highlights the contribution of the Big Five personality traits in suici...

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Autores principales: Katja Boot, Jasper X.M. Wiebenga, Merijn Eikelenboom, Patricia van Oppen, Kathleen Thomaes, Hein J.F. van Marle, Henriette D. Heering
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Publicado: Elsevier 2022
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spelling oai:doaj.org-article:432a292475a14c66bda3d05f4cab85d62021-11-10T04:17:16ZAssociations between personality traits and suicidal ideation and suicide attempts in patients with personality disorders0010-440X10.1016/j.comppsych.2021.152284https://doaj.org/article/432a292475a14c66bda3d05f4cab85d62022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S0010440X21000626https://doaj.org/toc/0010-440XIntroduction: People with personality disorders (PDs) have an elevated suicide risk. However, correlates of suicidal ideation (SI) and suicide attempts (SA) remain largely unknown in this population. A growing body of literature highlights the contribution of the Big Five personality traits in suicide-outcomes. Therefore, the present study investigates the association between the Big Five personality traits and SI and SA in people with PDs while applying the ideation-to-action framework. Method: Data were obtained from 105 treatment-seeking individuals diagnosed with PDs participating in the Trauma tO Personality Spectrum Study (TOPSS). Multinomial logistic regression analyses were used to analyze the association between the NEO Five-Factor Inventory and the three category suicide-outcome: non-suicidal, SI, and SA. Results: After controlling for age, gender, a comorbid depressive disorder, the severity of borderline manifestations, and other personality traits from the Big Five taxonomy, significantly lower levels of extraversion were observed in participants with SI compared to non-suicidal participants (OR = 0.27, 95% CI 0.10–0.72) but not in SA participants. In contrast, higher levels of extraversion were associated with SA when compared to SI (OR = 3.52, 95% CI 1.33–9.32). Other Big Five traits were not independently associated with suicide-outcomes. Conclusions: Of the Big Five traits, the introversion-extraversion dimension most clearly distinguishes individuals with SI from non-suicidal individuals, as well as those with a SA in the past from those with SI only. Prospective studies are required to investigate if this personality trait can predict the progression from being non-suicidal to having SI and from having SI to performing an attempt.Katja BootJasper X.M. WiebengaMerijn EikelenboomPatricia van OppenKathleen ThomaesHein J.F. van MarleHenriette D. HeeringElsevierarticleSuicidal ideationSuicide attemptPersonality disorderBig Five personality traitsNEO-FFIPsychiatryRC435-571ENComprehensive Psychiatry, Vol 112, Iss , Pp 152284- (2022)
institution DOAJ
collection DOAJ
language EN
topic Suicidal ideation
Suicide attempt
Personality disorder
Big Five personality traits
NEO-FFI
Psychiatry
RC435-571
spellingShingle Suicidal ideation
Suicide attempt
Personality disorder
Big Five personality traits
NEO-FFI
Psychiatry
RC435-571
Katja Boot
Jasper X.M. Wiebenga
Merijn Eikelenboom
Patricia van Oppen
Kathleen Thomaes
Hein J.F. van Marle
Henriette D. Heering
Associations between personality traits and suicidal ideation and suicide attempts in patients with personality disorders
description Introduction: People with personality disorders (PDs) have an elevated suicide risk. However, correlates of suicidal ideation (SI) and suicide attempts (SA) remain largely unknown in this population. A growing body of literature highlights the contribution of the Big Five personality traits in suicide-outcomes. Therefore, the present study investigates the association between the Big Five personality traits and SI and SA in people with PDs while applying the ideation-to-action framework. Method: Data were obtained from 105 treatment-seeking individuals diagnosed with PDs participating in the Trauma tO Personality Spectrum Study (TOPSS). Multinomial logistic regression analyses were used to analyze the association between the NEO Five-Factor Inventory and the three category suicide-outcome: non-suicidal, SI, and SA. Results: After controlling for age, gender, a comorbid depressive disorder, the severity of borderline manifestations, and other personality traits from the Big Five taxonomy, significantly lower levels of extraversion were observed in participants with SI compared to non-suicidal participants (OR = 0.27, 95% CI 0.10–0.72) but not in SA participants. In contrast, higher levels of extraversion were associated with SA when compared to SI (OR = 3.52, 95% CI 1.33–9.32). Other Big Five traits were not independently associated with suicide-outcomes. Conclusions: Of the Big Five traits, the introversion-extraversion dimension most clearly distinguishes individuals with SI from non-suicidal individuals, as well as those with a SA in the past from those with SI only. Prospective studies are required to investigate if this personality trait can predict the progression from being non-suicidal to having SI and from having SI to performing an attempt.
format article
author Katja Boot
Jasper X.M. Wiebenga
Merijn Eikelenboom
Patricia van Oppen
Kathleen Thomaes
Hein J.F. van Marle
Henriette D. Heering
author_facet Katja Boot
Jasper X.M. Wiebenga
Merijn Eikelenboom
Patricia van Oppen
Kathleen Thomaes
Hein J.F. van Marle
Henriette D. Heering
author_sort Katja Boot
title Associations between personality traits and suicidal ideation and suicide attempts in patients with personality disorders
title_short Associations between personality traits and suicidal ideation and suicide attempts in patients with personality disorders
title_full Associations between personality traits and suicidal ideation and suicide attempts in patients with personality disorders
title_fullStr Associations between personality traits and suicidal ideation and suicide attempts in patients with personality disorders
title_full_unstemmed Associations between personality traits and suicidal ideation and suicide attempts in patients with personality disorders
title_sort associations between personality traits and suicidal ideation and suicide attempts in patients with personality disorders
publisher Elsevier
publishDate 2022
url https://doaj.org/article/432a292475a14c66bda3d05f4cab85d6
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