Personality Factors and Suicide Risk in a Representative Sample of the German General Population

Objective Previous research has shown an association between certain personality characteristics and suicidality. Methodological differences including small sample sizes and missing adjustment for possible confounding factors could explain the varying results. The aim of this study was to assess the impact of the Big Five personality dimensions on suicidality in a representative population based sample of adults. Method Interviews were conducted in a representative German population-based sample (n=2555) in 2011. Personality characteristics were assessed using the Big Five Inventory-10 (BFI-10) and suicide risk was assessed with the Suicidal Behaviors Questionnaire-Revised (SBQ-R). Multivariate logistic regression models were calculated adjusting for depression, anxiety, and various sociodemographic variables. Results Neuroticism and openness were significantly associated with suicide risk, while extraversion and conscientiousness were found to be protective. Significant sex differences were observed. For males, extraversion and conscientiousness were protective factors. Neuroticism and openness were found to be associated with suicide risk only in females. These associations remained significant after adjusting for covariates. Conclusion The results highlight the role of personality dimensions as risk factors for suicide-related behaviors. Different personality dimensions are significantly associated with suicide-related behaviors even when adjusting for other known risk factors of suicidality.

[1]  E. Mościcki Gender differences in completed and attempted suicides. , 1994, Annals of epidemiology.

[2]  P. Duberstein,et al.  Personality Correlates of Hopelessness in Depressed Inpatients 50 Years of Age and Older , 2001, Journal of personality assessment.

[3]  F. Schmidt,et al.  Linking "big" personality traits to anxiety, depressive, and substance use disorders: a meta-analysis. , 2010, Psychological bulletin.

[4]  R. Spitzer,et al.  The PHQ-9 , 2001, Journal of General Internal Medicine.

[5]  P. Duberstein,et al.  Personality and attempted suicide in depressed adults 50 years of age and older: a facet level analysis. , 2004, Comprehensive psychiatry.

[6]  D. Velting Suicidal ideation and the five-factor model of personality , 1999 .

[7]  D. Watson,et al.  Adaptational Style and Dispositional Structure: Coping in the Context of the Five‐Factor Model , 1996 .

[8]  J. Lönnqvist,et al.  Attempted suicide in Europe: rates, trend.S and sociodemographic characteristics of suicide attempters during the period 1989–1992. Results of the WHO/EURO Multicentre Study on Parasuicide , 1996, Acta psychiatrica Scandinavica.

[9]  Keith Hawton,et al.  Risk factors for suicide in individuals with depression: a systematic review. , 2013, Journal of affective disorders.

[10]  H. Cooper,et al.  The happy personality: a meta-analysis of 137 personality traits and subjective well-being. , 1998, Psychological bulletin.

[11]  W. Johnson,et al.  The role of objective personality inventories in suicide risk assessment: an evaluation and proposal. , 1999, Suicide & life-threatening behavior.

[12]  Paul R Duberstein,et al.  Personality and reports of suicide ideation among depressed adults 50 years of age or older. , 2006, Journal of affective disorders.

[13]  O. John,et al.  Measuring personality in one minute or less: A 10-item short version of the Big Five Inventory in English and German , 2007 .

[14]  H. van Marwijk,et al.  Big Five personality and depression diagnosis, severity and age of onset in older adults. , 2013, Journal of affective disorders.

[15]  Anders M. Fjell,et al.  Neuronal correlates of the five factor model (FFM) of human personality: Multimodal imaging in a large healthy sample , 2013, NeuroImage.

[16]  G. Abecasis,et al.  Genome-wide association scan for five major dimensions of personality , 2010, Molecular Psychiatry.

[17]  R. Piedmont,et al.  Maladaptively high and low openness: the case for experiential permeability. , 2012, Journal of personality.

[18]  Patrick Monahan,et al.  Anxiety Disorders in Primary Care: Prevalence, Impairment, Comorbidity, and Detection , 2007, Annals of Internal Medicine.

[19]  A. Osman,et al.  The Suicidal Behaviors Questionnaire-Revised (SBQ-R):Validation with Clinical and Nonclinical Samples , 2001, Assessment.

[20]  B. Christensen,et al.  Ethical issues relevant to the assessment of suicide risk in nonclinical research settings. , 2012, Crisis.

[21]  R. Piedmont,et al.  Using the five-factor model to identify a new personality disorder domain: the case for experiential permeability. , 2009, Journal of personality and social psychology.

[22]  J. Lonnqvist,et al.  Suicide prevention strategies: a systematic review. , 2005, JAMA.

[23]  A. Kersting,et al.  EXTREME OBESITY IS ASSOCIATED WITH SUICIDAL BEHAVIOR AND SUICIDE ATTEMPTS IN ADULTS: RESULTS OF A POPULATION‐BASED REPRESENTATIVE SAMPLE , 2013, Depression and anxiety.

[24]  M. Voracek Big Five Personality Factors and Suicide Rates in the United States: A State-Level Analysis , 2009, Perceptual and motor skills.

[25]  J. Cougle,et al.  Anxiety disorders and suicidality in the National Comorbidity Survey-Replication. , 2009, Journal of psychiatric research.

[26]  F. Herrmann,et al.  Personality traits are associated with acute major depression across the age spectrum , 2012, Aging & mental health.

[27]  S. Armeli,et al.  The role of neuroticism in daily stress and coping. , 1999, Journal of personality and social psychology.

[28]  R. Spitzer,et al.  The PHQ-9: validity of a brief depression severity measure. , 2001, Journal of general internal medicine.

[29]  B. Löwe,et al.  A brief measure for assessing generalized anxiety disorder: the GAD-7. , 2006, Archives of internal medicine.

[30]  M C Neale,et al.  A longitudinal twin study of personality and major depression in women. , 1993, Archives of general psychiatry.

[31]  P. Costa,et al.  Validation of the five-factor model of personality across instruments and observers. , 1987, Journal of personality and social psychology.

[32]  G. Turecki,et al.  Personality traits as correlates of suicidal ideation, suicide attempts, and suicide completions: a systematic review , 2006, Acta psychiatrica Scandinavica.

[33]  K. Hawton Sex and suicide. Gender differences in suicidal behaviour. , 2000, The British journal of psychiatry : the journal of mental science.

[34]  T. Stiles,et al.  Personality traits and the development of depression, hopelessness, and suicide ideation , 2005 .

[35]  K. Matthews,et al.  Aggression, Impulsivity, and Central Nervous System Serotonergic Responsivity in a Nonpatient Sample , 1998, Neuropsychopharmacology.

[36]  T. Forkmann,et al.  Prevalence of Suicidal Ideation and Related Risk Factors in the German General Population , 2012, The Journal of nervous and mental disease.

[37]  R. Spitzer,et al.  Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. , 1999, JAMA.

[38]  Dave S. Kerby,et al.  CART analysis with unit-weighted regression to predict suicidal ideation from Big Five traits , 2003 .

[39]  S. McCann Suicide, Big Five Personality Factors, and Depression at the American State Level , 2010, Archives of suicide research : official journal of the International Academy for Suicide Research.

[40]  P. Duberstein,et al.  Combined Effects of Neuroticism and Extraversion: Findings From a Matched Case Control Study of Suicide in Rural China , 2012, The Journal of nervous and mental disease.

[41]  P. Costa,et al.  Normal Personality Assessment in Clinical Practice: The NEO Personality Inventory. , 1992 .

[42]  R. Kessler,et al.  Risk factors for suicidality in Europe: results from the ESEMED study. , 2007, Journal of affective disorders.

[43]  W. Taylor,et al.  Association of five-factor model personality domains and facets with presence, onset, and treatment outcomes of major depression in older adults. , 2012, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.

[44]  P. Vernon,et al.  Heritability of the big five personality dimensions and their facets: a twin study. , 1996, Journal of personality.

[45]  K Kroenke,et al.  Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study. , 1994, JAMA.

[46]  W. Sanderson,et al.  Suicide assessment: clinical interview vs. self-report. , 1994, Journal of clinical psychology.

[47]  R. de Graaf,et al.  Anxiety disorders and risk for suicidal ideation and suicide attempts: a population-based longitudinal study of adults. , 2005, Archives of general psychiatry.

[48]  Vsevolod A Rozanov,et al.  Personality Patterns of Suicide Attempters: Gender Differences in Ukraine , 2011, The Spanish journal of psychology.

[49]  B. Löwe,et al.  Validation and Standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the General Population , 2008, Medical care.

[50]  K. Kendler,et al.  The interrelationship of neuroticism, sex, and stressful life events in the prediction of episodes of major depression. , 2004, The American journal of psychiatry.