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. 2020 Oct 23:26:1543.
doi: 10.4102/sajpsychiatry.v26i0.1543. eCollection 2020.

Suicide risk of male State patients with antisocial personality traits

Hendrik S Bosman  1 , Charl Janse van Rensburg  2 , Gian Lippi  1
Affiliations

Suicide risk of male State patients with antisocial personality traits

Hendrik S Bosman et al. S Afr J Psychiatr. .

Abstract

Background: Suicide mortality rates are higher in people with personality disorders, especially those who have antisocial personality traits. These mortality rates are also higher in people who have committed offences. Antisocial personality traits are very common in populations who have committed offences and in forensic psychiatric patients.

Aim: To determine if male State patients with antisocial personality traits had a higher risk of suicide compared with patients with no antisocial personality traits. We tried to identify other risk factors for attempted suicide in this population.

Setting: Weskoppies Hospital's Forensic Unit, Pretoria, South Africa.

Methods: Of the 275 male State patients, 37 had antisocial personality traits and were included in the study. Of the remaining State patients, we randomly selected 37 control group participants, who had no antisocial personality traits. For each participant, we completed a data capturing sheet and a Beck's Suicide Ideation Scale (BSIS). We compared suicide risk and associated factors between study and control group participants.

Results: Study group and control group participants had the same current suicide risk. Overall, 63 participants (85.14%) had no current suicide risk. Of the 11 (14.86%) remaining participants with current suicide risk, 5 had antisocial personality traits. Eighteen had previous suicide attempts, 13 of whom had antisocial personality traits.

Conclusion: State patients with and without antisocial personality traits had similar current suicide risk. Although antisocial personality disorder is an identified risk factor for suicide, it was not the case in this study. Assessment of other risk factors for suicide should be prioritised.

Keywords: Beck’s Suicide Ideation Scale (BSIS); antisocial personality disorder; antisocial personality traits; forensic psychiatric population; suicide risk.

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Conflict of interest statement

The authors have declared that no competing interest exists.

Figures

FIGURE 1
FIGURE 1
Formation of study population.
See this image and copyright information in PMC

References

    1. Krasnova A, Eaton WW, Samuels JF. Antisocial personality and risks of cause-specific mortality: Results from the Epidemiologic Catchment Area study with 27 years of follow-up. Soc Psychiatry Psychiatr Epidemiol. 2019;54(5):617–625. 10.1007/s00127-018-1628-5 - DOI - PubMed
    1. Black DW, Baumgard CH, Bell SE. Death rates in 71 men with antisocial personality disorder: A comparison with general population mortality. Psychosomatics. 1996;37(2):131–136. 10.1016/S0033-3182(96)71579-7 - DOI - PubMed
    1. Pompili M, Ruberto A, Girardi P, Tatarelli R. Suicidality in DSM IV cluster B personality disorders. An overview. Ann Ist Super Sanita. 2004;40(4):475–483. - PubMed
    1. Duberstein PR, Conwell Y. Personality disorders and completed suicide: A methodological and conceptual review. Clin Psychol. 1997;4(4):359–376. 10.1111/j.1468-2850.1997.tb00127.x - DOI
    1. Sinclair SJ, Roche MJ, Temes C, et al. . Evaluating chronic suicide risk with the Personality Assessment Inventory: Development and initial validation of the Chronic Suicide Risk Index (S_Chron). Psychiatry Res. 2016;245(1):443–450. 10.1016/j.psychres.2016.08.048 - DOI - PubMed

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