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Clinical and psychometric features of psychiatric patients after a suicide attempt in relation with menstrual cycle phases

  • Athanasia Papadopoulou
  • Vasiliki Efstathiou
  • Christos Christodoulou
  • Rossetos Gournellis
  • Charalabos Papageorgiou
  • Athanassios Douzenis
  • Manolis Markianos
Original Article
  • 11 Downloads

Abstract

There is evidence that frequency of suicide attempts of fertile women is related to the menstrual cycle phases, while the influence of hormonal and psychiatric features has been hypothesized. This study aims to explore the distribution and possible differences in clinical characteristics of women who attempted suicide in relation to menstrual cycle. Seventy fertile female psychiatric patients, hospitalized in psychiatric department after a suicide attempt, were studied. Depression was assessed using Beck Depression Inventory, suicide intent with the Suicide Intent Scale, and aggression using the Buss–Perry Aggression Questionnaire. A profile of psychopathology was obtained by using Symptom Check List SCL-90-R. Attempts were more frequent during the last 4 days of luteal phase and during the 4 days of menses, with 59% of attempts to occur during these 8 days. Patterns of number of attempts and cycle phase were similar for subgroups regarding diagnosis, violent/non-violent mode of suicide attempt, and one or repeated attempts. Although attempts were unequally distributed during the cycle, none of the psychiatric features assessed in the present study were related to the higher frequency of attempts during premenstrual/menstrual days, indicating the need to include additional aspects of suicidal behavior in future studies.

Keywords

Suicide attempt Menstrual cycle Depression Suicide intent Aggression Violence 

Notes

Compliance with ethical standards

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2018

Authors and Affiliations

  • Athanasia Papadopoulou
    • 1
  • Vasiliki Efstathiou
    • 1
  • Christos Christodoulou
    • 1
  • Rossetos Gournellis
    • 1
  • Charalabos Papageorgiou
    • 2
  • Athanassios Douzenis
    • 1
  • Manolis Markianos
    • 2
  1. 1.2nd Department of Psychiatry, “Attikon” General HospitalNational and Kapodistrian University of AthensAthensGreece
  2. 2.1st Department of Psychiatry, “Eginition” HospitalNational and Kapodistrian University of AthensAthensGreece

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