Abstract
Analysis of prevalence and intensity of suicidal thoughts and their associations with neurotic personality traits as well as neurotic symptoms intensity in patients participating in qualification for hospitalization in a day hospital for treatment of neurotic and behavioral disorders. The results of Symptom Checklist KO"0", Neurotic Personality Questionnaire KON-2006 and Life Inventory of 1063 patients (739 women and 324 men), admitted to psychotherapy in a day hospital because of neurotic, behavioral and personality disorders. In the population of patients coming for treatment in the day hospital, the presence of suicidal ideations (SI) was common (reaching one-third of the respondents) and was regardless of the respondents'gender associated with significantly higher global symptom level (OWK) and significantly greater global neurotic personality disintegration (XKON) as well as significantly higher values of most of the neurotic personality inventory scales. None of the neurotic personality traits reduced the risk of suicidal ideation nor was associated with low SI arduousness. Day hospital patients reporting SI are a subgroup burdened with more severe neurotic disorders and comorbid personality disorders. Thus, the persons reporting in symptom questionnaires willingness to take one's own life, although relatively frequently encountered, deserve special attention due to the greater severity of their symptoms.
Highlights
Suicidal ideations (SI), as well as other manifestations of self-directed aggression are widely prevalent symptoms
Day hospital patients reporting SI are a subgroup burdened with more severe neurotic disorders and comorbid personality disorders
Presence of SI in the patients was related with greater global severity of neurotic symptoms (OWK coefficient), as well as with higher level of global neurotic personality disintegration (XKON coefficient)
Summary
Suicidal ideations (SI), as well as other manifestations of self-directed aggression are widely prevalent symptoms. Occurrence of risk-posing behaviours such as psychoactive substance abuse, involvement into high-risk sexual relationships, both with and without presence of SI, are related to increased risk of suicide which was determined in studies conducted on French general population [2] and in studies on British adolescents [3] According to the latter studies encompassing a comparison of adolescents with a history of auto-aggressive behaviour who did not intend to take ones’ own life during the last episode of such behaviour with adolescents who have never manifested auto-aggressive behaviour, it was noted that in the first group the frequencies of having SI and suicidal plans were significantly higher i.e. 37.6% vs 7.8% and 8.7% vs 0.7% respectively [3]. At the same time the researchers found that diagnoses of personality disorders of histrionic type, antisocial type and borderline type are not associated with lethality of SA
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