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Introduction: Bipolar disorders (BD), either type 1 or type 2, are associated with high rates of suicide attempts (SA). Suicidal ideations and planification can lead to different methods of SA. Objectives: The aim of our study is to describe and evaluate the several methods of SA in our Tunisian community and to compare our results to those all over the world. Methods: It's a descriptive study of 40 bipolar disorder patients. All of the patients reported at least one suicidal behavior in their life. Sociodemographic data, family and personal history were collected directly from patients and their medical files. Semi structured interviews were conducted to investigate closely about the suicidal attempts. Results: our sample contained 40 BD patients. The mean age of our sample was 41,8+10,6 years. 57,5% were male, 55% were single. 82,5% attempted suicide at least once in their lifetime and 17,5% self-destructive behavior (suicidal equivalent). Drug overdose was the mostly reported method in 47,5% of cases, caustic products in 20%, hanging and wrist-cutting in 10% both, self-strangulation in 7,5%, immolation in 5%, drowning and jumping from height in 2,5% both. We see that we didn't find the use of firearms, a way mostly reported in the USA. Our results are different from countries in which we do not share the same culture and laws. Conclusions: the knowledge of these methods helps us prevent suicide even with the cultural differences. [ABSTRACT FROM AUTHOR]

Introduction: Impulsivity is a prominent aspect in bipolar disorders (BD), it contributes to many of its complications including suicidal behavior. Objectives: The aim of our study was to evaluate the impulsivity rates in BD patients and to search for a correlation between this trait and the emergence of suicidal acts. Methods: It's a cross sectional, descriptive study including 100 bipolar patients type 1 or 2 divided into two groups: 40 BD with suicidal behaviors and 60 BD without suicidal behaviors. Sociodemographic data, family and personal history were collected directly from patients and from their medical files. Patients responded to BIS-11: Barrat impulsivity scale traduced and validated in our dialectal Tunisian language. The analysis was made by IBM SPSS statistics 25. For the analysis of correlations and statistical links, we used linear regression. Results: The mean age of our sample was 42,9+11,5 years. 77% were male, 50% were single. The average BIS-11 score for our sample was 69,2±10,7. It was 73,7±10,9 for suicidal patients and 66,2±9,6 for non-suicidal patients. We found a statistical link between high rates of impulsivity BIS-11>75 and suicidal behavior in BD patients (p<0,001 OR 3,6) Conclusions: High rates of impulsivity are statistically associated with suicidal behavior in BD patients. Screening for impulsivity traits in BD patients using objective measures is mandatory in order to predict and prevent suicide in this risky population. [ABSTRACT FROM AUTHOR]

Introduction: Child sexual abuse is associated with some clinical phenomena that represents a more severe form of bipolar disorder(BD). In fact, it can lead to a higher risk of suicidal attempts. Objectives: The aim of our study was to evaluate the correlation between early sexual abuse and the likehood of suicidal behavior in bipolar disorder patients. Methods: It's a cross sectional, descriptive study containing 100 bipolar patients type 1 or 2 divided into two groups: 40 BD with suicidal behaviors and 60 BD without suicidal behaviors. Sociodemographic data, family and personal history were collected directly from patients and from their medical files. Patients responded to Childhood trauma questionnaire (CTQ). The analysis was made by IBM SPSS statistics 25. For the analysis of correlations and statistical links, we used linear regression. Results: The mean age of our sample was 42,9+11,5 years. 77% were male, 50% were single. The average CTQ total score was 41,6+10,7. It was 43,5+11,5 for the suicidal patients and 40,3+9,7 for the nonsuicidal patients. The average scores for emotional neglect, physical neglect, emotional abuse, physical abuse and sexual abuse were respectively: 10,2/7,9/8,6/8,4 and 6,5 for the suicidal group. we noticed a significant correlation between early sexual abuse and the emergence of suicidal behavior in BD adult patients (p=0,009<0,05), but there was no statistical link between emotional and physical neglect, emotional and physical abuse and the likehood of suicidal behaviors. Conclusions: Childhood traumas, especially sexual abuse seem to be a predictor factor of suicidality in BD. we need to asses these childhood adversities to prevent self-destructive behaviors. [ABSTRACT FROM AUTHOR]

Introduction: Patients with borderline personnality disorder (BPD) occupy an important place among patients admitted for suicidal attempt. Preventing recurrence of suicide attempts in this specific population, by controlling its risk factors, is an important public health issue. Objectives: The purpose of this study was to determine the risk factors of the recurrence of suicidal attempt in BPD patients consulting the emergency unit. Methods: It's a retrospective study about 30 cases. All subjects included in the study had been diagnosed with BPD according to DSM V criteria. Moreover, they all consulted the emergency psychiatric unit after, at least, one suicide attempt. The exclusion criteria were the presence of cognitive, bipolar or psychotic disorders. Patients were divided into two groups: with and without recurrence of suicide attempt. Socio-demographic informations was collected. The gravity of depressive disorders was assessed with the Hamilton Depression Rating Scale (HDRS). Results: Among the thirty patients included in the study, 66% patients were re-admitted to the emergency unit for one or several suicide attempt. The recurrence of the suicide attempt was significantly higher in unemployed patients, in patients with family history of suicide and in patients who consume cannabis. Interestingly, living with parents who are not separated seems to be a protective factor (OR = 0.3). Furthermore, recurrence and intensity (HDRS) of the major depressive episode did not differ statistically in patients with or without SB recurrence. Conclusions: Identifying patients at risk of recurrence of suicidal act, represents an essential step in secondary prevention. [ABSTRACT FROM AUTHOR]