Type-D personality and depersonalization are associated with suicidal ideation in the German general population aged 35-74: results from the Gutenberg Heart Study
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Type-D personality and depersonalization are associated with suicidal ideation in the German general population aged 35-74: results from the Gutenberg Heart Study. / Michal, Matthias; Wiltink, Jörg; Till, Yvonne; Wild, Philipp S; Münzel, Thomas; Blankenberg, Stefan; Beutel, Manfred E.
In: J AFFECT DISORDERS, Vol. 125, No. 1-3, 09.2010, p. 227-233.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Type-D personality and depersonalization are associated with suicidal ideation in the German general population aged 35-74: results from the Gutenberg Heart Study
AU - Michal, Matthias
AU - Wiltink, Jörg
AU - Till, Yvonne
AU - Wild, Philipp S
AU - Münzel, Thomas
AU - Blankenberg, Stefan
AU - Beutel, Manfred E
N1 - 2010 Elsevier B.V. All rights reserved.
PY - 2010/9
Y1 - 2010/9
N2 - BACKGROUND: Suicidal ideation (SID) is a major risk factor for suicide attempts. Mental disorders are among the strongest correlates of suicide, with depression and anxiety disorders playing a major role. The present study aims to investigate the contribution of under researched factors contributing to SID such as depersonalization, Type-D personality and cardiovascular risk factors.METHODS: Factors associated with SID were investigated in a sample of N=5000 participants (aged 35-74 years) of the community-based survey "Gutenberg Heart Study". The factors were assessed by self-report instruments, computer-assisted interviews and medical examination.RESULTS: 7.5% of the sample reported SID over the last 2 weeks. In the univariate analysis SID was significantly associated with female sex, living without a partner, low socioeconomic status, diagnosis of coronary heart disease, family history of myocardial infarction, smoking and mental distress. In the full adjusted model significant associations remained with age (in years) OR 1.02 (95%CI 1.01-1.04, p=0.002), self-reported depression OR 3.21 (95%CI 2.23-4.62, p<0.0001), panic disorder OR 1.56 (95%CI 1.03-2.36, p=0.036), depersonalization OR 2.45 (95%CI 1.78-3.38, p<0.0001), Type-D personality OR 1.98 (95%CI 1.49-2.63, p<0.0001) and impairment by mental distress OR 2.15 (95%CI 1.74-2.67, p<0.0001).LIMITATIONS: Main limitations are the reliance on self-report measures of SID and of mental distress.CONCLUSIONS: For the first time it has been shown that in the general population depersonalization and Type-D personality are uniquely associated with SID. These associations need further elucidation.
AB - BACKGROUND: Suicidal ideation (SID) is a major risk factor for suicide attempts. Mental disorders are among the strongest correlates of suicide, with depression and anxiety disorders playing a major role. The present study aims to investigate the contribution of under researched factors contributing to SID such as depersonalization, Type-D personality and cardiovascular risk factors.METHODS: Factors associated with SID were investigated in a sample of N=5000 participants (aged 35-74 years) of the community-based survey "Gutenberg Heart Study". The factors were assessed by self-report instruments, computer-assisted interviews and medical examination.RESULTS: 7.5% of the sample reported SID over the last 2 weeks. In the univariate analysis SID was significantly associated with female sex, living without a partner, low socioeconomic status, diagnosis of coronary heart disease, family history of myocardial infarction, smoking and mental distress. In the full adjusted model significant associations remained with age (in years) OR 1.02 (95%CI 1.01-1.04, p=0.002), self-reported depression OR 3.21 (95%CI 2.23-4.62, p<0.0001), panic disorder OR 1.56 (95%CI 1.03-2.36, p=0.036), depersonalization OR 2.45 (95%CI 1.78-3.38, p<0.0001), Type-D personality OR 1.98 (95%CI 1.49-2.63, p<0.0001) and impairment by mental distress OR 2.15 (95%CI 1.74-2.67, p<0.0001).LIMITATIONS: Main limitations are the reliance on self-report measures of SID and of mental distress.CONCLUSIONS: For the first time it has been shown that in the general population depersonalization and Type-D personality are uniquely associated with SID. These associations need further elucidation.
KW - Adult
KW - Aged
KW - Anxiety Disorders/diagnosis
KW - Coronary Disease/diagnosis
KW - Cross-Sectional Studies
KW - Depersonalization/diagnosis
KW - Depressive Disorder, Major/diagnosis
KW - Female
KW - Germany
KW - Health Surveys
KW - Humans
KW - Male
KW - Middle Aged
KW - Myocardial Infarction/diagnosis
KW - Personality Development
KW - Personality Inventory/statistics & numerical data
KW - Prognosis
KW - Psychometrics
KW - Socioeconomic Factors
KW - Suicidal Ideation
KW - Type A Personality
U2 - 10.1016/j.jad.2010.02.108
DO - 10.1016/j.jad.2010.02.108
M3 - SCORING: Journal article
C2 - 20206385
VL - 125
SP - 227
EP - 233
JO - J AFFECT DISORDERS
JF - J AFFECT DISORDERS
SN - 0165-0327
IS - 1-3
ER -
