Personality traits as correlates of suicidal ideation, suicide attempts, and suicide completions: a systematic review

Objective:  Involvement of personality traits in susceptibility to suicidality has been the subject of research since the 1950s. Because of the diversity of conceptual and methodological approaches, the extent of their independent contribution has been difficult to establish. Here, we review conceptual background and empirical evidence investigating roles of traits in suicidal behaviors.

[1]  F. Lolas,et al.  EPQ-R and Suicide Attempt: The Relevance of Psychoticism , 1991 .

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

[3]  J. Mann,et al.  A Current Perspective of Suicide and Attempted Suicide , 2002, Annals of Internal Medicine.

[4]  A. Beautrais,et al.  Personality traits and cognitive styles as risk factors for serious suicide attempts among young people. , 1999, Suicide & life-threatening behavior.

[5]  A. Caspi,et al.  Influence of Life Stress on Depression: Moderation by a Polymorphism in the 5-HTT Gene , 2003, Science.

[6]  D L Newman,et al.  Behavioral observations at age 3 years predict adult psychiatric disorders. Longitudinal evidence from a birth cohort. , 1996, Archives of general psychiatry.

[7]  A. Beautrais Gender issues in youth suicidal behaviour. , 2002, Emergency medicine.

[8]  K. Lyons-Ruth,et al.  Attachment relationships among children with aggressive behavior problems: the role of disorganized early attachment patterns. , 1996, Journal of consulting and clinical psychology.

[9]  A. Roy Family history of suicide and neuroticism: a preliminary study , 2002, Psychiatry Research.

[10]  Philippe Courtet,et al.  Serotonin transporter gene may be involved in short-term risk of subsequent suicide attempts , 2003, Biological Psychiatry.

[11]  D. Janowsky,et al.  Relationship of Myers Briggs type indicator personality characteristics to suicidality in affective disorder patients. , 2002, Journal of psychiatric research.

[12]  M. J. Edwards,et al.  Coping, meaning in life, and suicidal manifestations: examining gender differences. , 2001, Journal of clinical psychology.

[13]  P. Duberstein,et al.  The association of irritability and impulsivity with suicidal ideation among 15- to 20-year-old males. , 2004, Suicide & life-threatening behavior.

[14]  O. Kausch Suicide attempts among veterans seeking treatment for pathological gambling. , 2003, The Journal of clinical psychiatry.

[15]  Paul R Duberstein,et al.  Predisposing and precipitating factors for suicide among alcoholics: empirical review and conceptual integration. , 2004, Alcoholism, clinical and experimental research.

[16]  B. Bongar,et al.  Assessing risk for completed suicide in patients with alcohol dependence: Clinicians' views of critical factors , 2002 .

[17]  D. Fergusson,et al.  Risk factors and life processes associated with the onset of suicidal behaviour during adolescence and early adulthood , 2000, Psychological Medicine.

[18]  Livesley Wj Suggestions for a framework for an empirically based classification of personality disorder. , 1998 .

[19]  Gonghuan Yang,et al.  Risk factors for suicide in China: a national case-control psychological autopsy study , 2002, The Lancet.

[20]  C. Patrick,et al.  Psychopathy, antisocial personality, and suicide risk. , 2001, Journal of abnormal psychology.

[21]  M. Oquendo,et al.  Suicidal Behavior and Mild Traumatic Brain Injury in Major Depression , 2004, The Journal of nervous and mental disease.

[22]  K. Lesch,et al.  Toward a molecular architecture of personality , 2003, Behavioural Brain Research.

[23]  P. Tyrer,et al.  Does co‐morbid personality disorder increase the risk of suicidal behaviour in psychosis? , 2003, Acta psychiatrica Scandinavica.

[24]  J. Connolly,et al.  Personality disorder, tendency to impulsive violence, and suicidal behavior in adolescents. , 1993, Journal of the American Academy of Child and Adolescent Psychiatry.

[25]  W. Eaton,et al.  Hopelessness, depression, substance disorder, and suicidality--a 13-year community-based study. , 2004, Social psychiatry and psychiatric epidemiology.

[26]  P. Bearman,et al.  Suicide and friendships among American adolescents. , 2004, American journal of public health.

[27]  H. Hollingworth Personality a psychological interpretation. , 1938 .

[28]  K. Lesch,et al.  Impulsivity, aggression, and serotonin: a molecular psychobiological perspective. , 2000, Behavioral sciences & the law.

[29]  R. Baldessarini,et al.  Genetics of Suicide: An Overview , 2004, Harvard review of psychiatry.

[30]  Gordon W. Allport,et al.  Pattern and growth in personality , 1961 .

[31]  Antonio Terracciano,et al.  Personality trait development from age 12 to age 18: longitudinal, cross-sectional, and cross-cultural analyses. , 2002, Journal of personality and social psychology.

[32]  J. Mann,et al.  Association of aggressive behavior with altered serotonergic function in patients who are not suicidal. , 2000, The American journal of psychiatry.

[33]  D. Mant Prevention , 1994, The Lancet.

[34]  J. Sweeney,et al.  Attempted Suicide Characteristics and Cerebrospinal Fluid Amine Metabolites in Depressed Inpatients , 1996, Neuropsychopharmacology.

[35]  A. Spirito,et al.  Affective, behavioral, and cognitive functioning in adolescents with multiple suicide attempts. , 2003, Suicide & life-threatening behavior.

[36]  C Waternaux,et al.  Toward a clinical model of suicidal behavior in psychiatric patients. , 1999, The American journal of psychiatry.

[37]  J. Paris Half in Love with Easeful Death: The Meaning of Chronic Suicidality in Borderline Personality Disorder , 2004, Harvard review of psychiatry.

[38]  Lars-Göran Nilsson,et al.  A polymorphism in the serotonin receptor 3A (HTR3A) gene and its association with harm avoidance in women. , 2003, Archives of general psychiatry.

[39]  P. Duberstein,et al.  Personality traits and suicidal behavior and ideation in depressed inpatients 50 years of age and older. , 2000, The journals of gerontology. Series B, Psychological sciences and social sciences.

[40]  M. Oquendo,et al.  The relationship of childhood abuse to impulsivity and suicidal behavior in adults with major depression. , 2001, The American journal of psychiatry.

[41]  R. Goldney,et al.  Pre-Durkheim suicidology. , 2000, Crisis.

[42]  S. Gibb,et al.  Mortality and further suicidal behaviour after an index suicide attempt: a 10-year study. , 2005, The Australian and New Zealand journal of psychiatry.

[43]  E. G. Stålenheim,et al.  Relationships between attempted suicide, temperamental vulnerability, and violent criminality in a Swedish forensic psychiatric population. , 2001, European psychiatry : the journal of the Association of European Psychiatrists.

[44]  E S Shneidman,et al.  Suicide as psychache. , 1993, The Journal of nervous and mental disease.

[45]  Victoria Arango,et al.  The Neurobiology and Genetics of Suicide and Attempted Suicide: A Focus on the Serotonergic System , 2001, Neuropsychopharmacology.

[46]  A. Roy Distal risk factors for suicidal behavior in alcoholics: replications and new findings. , 2003, Journal of affective disorders.

[47]  C. Robert Cloninger,et al.  Bipolar disorder. III: Harm avoidance a risk factor for suicide attempts. , 2004, Bipolar disorders.

[48]  Y. Ben-Porath,et al.  Assessing the Personality Psychopathology Five (PSY-5) in adolescents : New MMPI-A scales , 1997 .

[49]  A. Farmer,et al.  The Cardiff sib-pair study: suicidal ideation in depressed and healthy subjects and their siblings. , 2001, Crisis.

[50]  G. Turecki,et al.  Is violent method of suicide a behavioral marker of lifetime aggression? , 2005, The American journal of psychiatry.

[51]  J. Lépine,et al.  Relationship between attempted suicide, serum cholesterol level and novelty seeking in psychiatric in-patients , 2002, Psychiatry Research.

[52]  H. Pijl,et al.  Borderline personality, impulsiveness, and platelet monoamine measures in bulimia nervosa and recurrent suicidal behavior , 1996, Biological Psychiatry.

[53]  R. Goldney,et al.  Pre-Durkheim Suicidology. The 1892 Reviews of Tuke and Savage , 2003 .

[54]  Annette Beautrais,et al.  Suicide in New Zealand II: a review of risk factors and prevention. , 2003, The New Zealand medical journal.

[55]  D. Haller,et al.  Suicidal Ideation Among Psychiatric Patients with HIV: Psychiatric Morbidity and Quality of Life , 2003, AIDS and Behavior.

[56]  G. Engström,et al.  Temperament traits in seasonal affective disorder, suicide attempters with non-seasonal major depression and healthy controls. , 1999, Journal of affective disorders.

[57]  A. Spirito,et al.  The Role of Perfectionism and Depressive Cognitions in Understanding the Hopelessness Experienced by Adolescent Suicide Attempters , 2000, Child psychiatry and human development.

[58]  B. I. Gutierrez,et al.  The relationship between level of self-esteem and suicidal ideation with stability of self-esteem as moderator , 2002 .

[59]  C. Beevers,et al.  Perfectionism, cognitive bias, and hopelessness as prospective predictors of suicidal ideation. , 2004, Suicide & life-threatening behavior.

[60]  B. Cox,et al.  Psychological dimensions associated with suicidal ideation and attempts in the National Comorbidity Survey. , 2004, Suicide & life-threatening behavior.

[61]  P. P. Heppner,et al.  Problem-solving appraisal, stress, hopelessness, and suicide ideation in a college population. , 1991 .

[62]  P. Hewitt,et al.  Perfectionism and Suicide Ideation in Adolescent Psychiatric Patients , 1997, Journal of abnormal child psychology.

[63]  A. Roy Genetics of Suicide , 1986 .

[64]  G. Engström,et al.  Temperament traits in male suicide attempters and violent offenders , 1999, European Psychiatry.

[65]  J. Lönnqvist,et al.  Level of suicidal intent predicts overall mortality and suicide after attempted suicide: a 12-year follow-up study , 2004, BMC psychiatry.

[66]  C. Barbaranelli,et al.  Age differences in personality across the adult life span: parallels in five cultures. , 1999, Developmental psychology.

[67]  Sheila M. Williams,et al.  Low Self-Esteem and Hopelessness in Childhood and Suicidal Ideation in Early Adulthood , 2001, Journal of abnormal child psychology.

[68]  C. R. Cloninger,et al.  A psychobiological model of temperament and character. , 1993, Archives of general psychiatry.

[69]  C. Benkelfat,et al.  A systematic review of association studies investigating genes coding for serotonin receptors and the serotonin transporter: II. Suicidal behavior , 2003, Molecular Psychiatry.

[70]  A. Osman,et al.  Suicide risk assessment in a college student population. , 2000 .

[71]  A. Caspi,et al.  Epidemiological personology: the unifying role of personality in population-based research on problem behaviors. , 2000, Journal of personality.

[72]  Heriberto G Sánchez Risk factor model for suicide assessment and intervention. , 2001 .

[73]  J. Angst,et al.  Premorbid personality of depressive, bipolar, and schizophrenic patients with special reference to suicidal issues. , 1986, Comprehensive psychiatry.

[74]  N. Kaslow,et al.  Risk factors for suicide attempts among low-income women with a history of alcohol problems. , 1999, Addictive behaviors.

[75]  A. Fanous,et al.  The prediction of thoughts of death or self-harm in a population-based sample of female twins , 2004, Psychological Medicine.

[76]  J. Brook,et al.  Personality disorders in adolescence and risk of major mental disorders and suicidality during adulthood. , 1999, Archives of general psychiatry.

[77]  P. Eaton,et al.  Multiple Attempters of Suicide Presenting at an Emergency Department , 1986, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[78]  C. Heeringen The suicidal process and related concepts. , 2001 .

[79]  G. Turecki,et al.  Patterns of co-morbidity in male suicide completers , 2003, Psychological Medicine.

[80]  W. Goggin,et al.  The escape theory of suicide in college students: testing a model that includes perfectionism. , 1996, Suicide & life-threatening behavior.

[81]  S. Canetto,et al.  The gender paradox in suicide. , 1998, Suicide & life-threatening behavior.

[82]  G. Ratzoni,et al.  Association between multiple suicide attempts and negative affects in adolescents. , 1998, Journal of the American Academy of Child and Adolescent Psychiatry.

[83]  U. Preuss,et al.  Impulsivity and aggression as predictors of suicide attempts in alcoholics , 2002, European Archives of Psychiatry and Clinical Neuroscience.

[84]  J. Mann,et al.  Peripubertal suicide attempts in offspring of suicide attempters with siblings concordant for suicidal behavior. , 2003, The American journal of psychiatry.

[85]  J. Kromrey,et al.  Relationships between suicidal behavior and personality types. , 1994, Suicide & life-threatening behavior.

[86]  S. Greenwald,et al.  Psychosocial and risk behavior correlates of youth suicide attempts and suicidal ideation. , 2001, Journal of the American Academy of Child and Adolescent Psychiatry.

[87]  H. J. Institute Genetic and Environmental Contributions to Individual Differences: The Three Major Dimensions of Personality , 2005 .

[88]  A. Sourander,et al.  Suicidal thoughts and attempts among adolescents: a longitudinal 8-year follow-up study. , 2001, Journal of affective disorders.

[89]  H. Goldsmith,et al.  Linking temperamental fearfulness and anxiety symptoms: a behavior–genetic perspective , 2000, Biological Psychiatry.

[90]  R. Baumeister,et al.  Suicide as escape from self. , 1990, Psychological review.

[91]  B. Bettes,et al.  Symptoms associated with suicidal behavior in childhood and adolescence , 1986, Journal of abnormal child psychology.

[92]  J. Evans,et al.  Impulsiveness and deliberate self‐harm: a comparison of ‘first‐timers' and ’repeaters‘ , 1996, Acta psychiatrica Scandinavica.

[93]  M. Fava,et al.  Cynicism, hostility, and suicidal ideation in depressed outpatients. , 1996, The Journal of nervous and mental disease.

[94]  A. Beautrais,et al.  Vulnerability and resiliency to suicidal behaviours in young people , 2002, Psychological Medicine.

[95]  S. Lilienfeld,et al.  Individual differences science for treatment planning: Personality traits. , 1997 .

[96]  K. Young,et al.  Overview and assessment of the suicidal child , 2001, Depression and anxiety.

[97]  D. Brent,et al.  Personality disorder, personality traits, impulsive violence, and completed suicide in adolescents. , 1994, Journal of the American Academy of Child and Adolescent Psychiatry.

[98]  A. Sourander,et al.  Suicidal ideation and behavior in children's homes , 2003, Nordic journal of psychiatry.

[99]  K. Lesch,et al.  Association between allelic variation of serotonin transporter function and neuroticism in anxious cluster C personality disorders. , 2004, The American journal of psychiatry.

[100]  Qian Li,et al.  Genetic perspectives on the serotonin transporter , 2001, Brain Research Bulletin.

[101]  J. Sacks,et al.  Assault victimization and suicidal ideation or behavior within a national sample of U.S. adults. , 2002, Suicide & life-threatening behavior.

[102]  A. Roy,et al.  Attempted suicide among living co-twins of twin suicide victims. , 1995, The American journal of psychiatry.

[103]  L. Siever,et al.  Suicide, impulsive aggression, and HTR1B genotype , 2001, Biological Psychiatry.

[104]  G. Dear Functional and Dysfunctional Impulsivity, Depression, and Suicidal Ideation in a Prison Population , 2000, The Journal of psychology.

[105]  A. Feingold,et al.  Gender differences in personality: a meta-analysis. , 1994, Psychological bulletin.

[106]  Hans-Jürgen Möller,et al.  A functional single nucleotide polymorphism (V158M) in the COMT gene is associated with aggressive personality traits , 2003, Biological Psychiatry.

[107]  R E Tremblay,et al.  Behavior of boys in kindergarten and the onset of substance use during adolescence. , 1997, Archives of general psychiatry.

[108]  T. Widiger,et al.  Personality and depression in women. , 2003, Journal of affective disorders.

[109]  Maria A Oquendo,et al.  Aggressivity, suicide attempts, and depression: relationship to cerebrospinal fluid monoamine metabolite levels , 2001, Biological Psychiatry.

[110]  H. Akiskal,et al.  Can temperament identify affectively ill patients who engage in lethal or near-lethal suicidal behavior? A 14-year prospective study. , 2002, Suicide & life-threatening behavior.

[111]  P. Duberstein,et al.  Emotion traits in older suicide attempters and non-attempters. , 2001, Journal of affective disorders.

[112]  G. Slegers,et al.  Prefrontal 5-HT2a receptor binding index, hopelessness and personality characteristics in attempted suicide. , 2003, Journal of affective disorders.

[113]  Ramin V Parsey,et al.  Positron emission tomography of regional brain metabolic responses to a serotonergic challenge and lethality of suicide attempts in major depression. , 2003, Archives of general psychiatry.

[114]  L. Bierut,et al.  Suicidal behaviour: an epidemiological and genetic study , 1998, Psychological Medicine.

[115]  Barbara Stanley,et al.  Familial pathways to early-onset suicide attempt: risk for suicidal behavior in offspring of mood-disordered suicide attempters. , 2002, Archives of general psychiatry.

[116]  A. Spirito,et al.  Personality Characteristics of Adolescent Suicide Attempters , 1999, Child psychiatry and human development.

[117]  A. Spirito,et al.  Clinical utility of the MMPI in the evaluation of adolescent suicide attempters. , 1988, Journal of personality assessment.

[118]  M. Owen,et al.  The genetic basis of complex human behaviors. , 1994, Science.

[119]  S. Gil The Role of Personality Traits in the Understanding of Suicide Attempt Behavior Among Psychiatric Patients , 2003 .

[120]  H. Wittchen,et al.  Gender differences in adolescents and young adults with suicidal behaviour , 2001, Acta psychiatrica Scandinavica.

[121]  D. Pallis,et al.  Extraversion, Neuroticism, and Intent in Attempted Suicides , 1977, Psychological reports.

[122]  D. Murphy,et al.  Association between the serotonin transporter promoter polymorphism and personality traits in a primarily female population sample. , 2000, American journal of medical genetics.

[123]  J. Livesley,et al.  Suggestions for a Framework for an Empirically Based Classification of Personality Disorder , 1998, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[124]  R. O’Connor,et al.  Hopelessness and future thinking in parasuicide: the role of perfectionism. , 2003, The British journal of clinical psychology.

[125]  M. Åsberg,et al.  Temperamental vulnerability in attempted suicide , 1995, Acta psychiatrica Scandinavica.

[126]  A. Price,et al.  Person factors associated with suicidal behavior among African American women and men. , 2004, Cultural diversity & ethnic minority psychology.

[127]  G. Turecki,et al.  Familial aggregation of suicidal behavior: a family study of male suicide completers from the general population. , 2005, The American journal of psychiatry.

[128]  P. Sham,et al.  Can future suicidal behaviour in depressed patients be predicted? , 1991, Journal of affective disorders.

[129]  M. Nöthen,et al.  Allelic variants of dopamine receptor D4 (DRD4) and serotonin receptor 5HT2c (HTR2c) and temperament factors: replication tests. , 1999, American journal of medical genetics.

[130]  T. Field,et al.  Adolescent suicidal ideation. , 2001, Adolescence.

[131]  D. Reboussin,et al.  First-time suicide attempters, repeat attempters, and previous attempters on an adolescent inpatient psychiatry unit. , 1996, Journal of the American Academy of Child and Adolescent Psychiatry.

[132]  A. Berg,et al.  Suicidal ideation and attempts in Norwegian police. , 2003, Suicide & life-threatening behavior.

[133]  M. Oquendo,et al.  Protective factors against suicidal acts in major depression: reasons for living. , 2000, The American journal of psychiatry.

[134]  J. Heckman,et al.  Human Capital Policy , 2003, SSRN Electronic Journal.

[135]  I. Lee,et al.  Psychiatric morbidity and post-traumatic symptoms among survivors in the early stage following the 1999 earthquake in Taiwan , 2001, Psychiatry Research.

[136]  Klaus-Peter Lesch,et al.  Genetically driven variation in serotonin uptake: is there a link to affective spectrum, neurodevelopmental, and neurodegenerative disorders? , 1998, Biological Psychiatry.

[137]  P. Costa,et al.  Personality trait structure as a human universal. , 1997, The American psychologist.

[138]  Paul T. Costa,et al.  From catalog to classification: Murray's needs and the five-factor model. , 1988 .

[139]  A. Caspi,et al.  Influence of Life Stress on Depression: Moderation by a Polymorphism in the 5-HTT Gene , 2003, Science.

[140]  G. Rouleau,et al.  Suicide and the serotonin transporter gene , 2001, Molecular Psychiatry.

[141]  M. Arato,et al.  Relationship between cerebrospinal fluid amine metabolites, neuroendocrine findings and personality dimensions (Marke‐Nyman scale factors) in psychiatric patients , 1983, Acta psychiatrica Scandinavica.

[142]  M. Mikulincer,et al.  Self-representation of suicidal adolescents. , 1998, Journal of abnormal psychology.

[143]  K. Lesch,et al.  Association of Anxiety-Related Traits with a Polymorphism in the Serotonin Transporter Gene Regulatory Region , 1996, Science.

[144]  J. Guelfi,et al.  Impulsivity: a relevant dimension in depression regarding suicide attempts? , 1999, Journal of affective disorders.

[145]  D. Nagin,et al.  Childhood behavioral profiles leading to adolescent conduct disorder: risk trajectories for boys and girls. , 2002, Journal of the American Academy of Child and Adolescent Psychiatry.

[146]  M. Basil,et al.  Psychological and social indicators of suicide ideation and suicide attempts in Zuni adolescents. , 1992, Journal of consulting and clinical psychology.

[147]  A. Desautels,et al.  Alpha 2A adrenergic receptor gene and suicide , 2004, Psychiatry Research.

[148]  R A Steer,et al.  Risk factors for suicide in psychiatric outpatients: a 20-year prospective study. , 2000, Journal of consulting and clinical psychology.

[149]  T. Joiner,et al.  Relationships among suicide ideators, attempters, and multiple attempters in a young-adult sample. , 1996, Journal of abnormal psychology.

[150]  D. Lester,et al.  Inward and outward irritability in the suicidally inclined. , 1988, The Journal of general psychology.

[151]  P. Costa,et al.  Normal personality traits and comorbidity among phobic, panic and major depressive disorders , 2001, Psychiatry Research.

[152]  G. Turecki Suicidal behavior: is there a genetic predisposition? , 2001, Bipolar Disorders.

[153]  P. Costa,et al.  Gender differences in personality traits across cultures: robust and surprising findings. , 2001, Journal of personality and social psychology.

[154]  Daryl G. Kroner,et al.  Differentiating suicidal motivations and manifestations in a forensic sample , 2003 .

[155]  R. King,et al.  Suicidal ideations and attempts in juvenile delinquents. , 2003, Journal of child psychology and psychiatry, and allied disciplines.

[156]  A. Beck,et al.  Self-reported suicidal ideation in adolescent psychiatric inpatients , 1993 .

[157]  R. Joffe,et al.  Personality and suicidal behavior in depressed patients. , 1989, Comprehensive psychiatry.

[158]  Glen P. Davis,et al.  Dimensions of impulsivity and aggression associated with suicide attempts among bipolar patients: a preliminary study. , 2004, Suicide & life-threatening behavior.

[159]  S. Nair,et al.  Relationship of personality, environmental, and DICA variables to adolescent hopelessness: a neural network sensitivity approach. , 1996, Journal of the American Academy of Child and Adolescent Psychiatry.

[160]  R. Ebstein,et al.  Dopamine D4 receptor (D4DR) exon III polymorphism associated with the human personality trait of Novelty Seeking , 1996, Nature Genetics.

[161]  R. Ebstein,et al.  No association between the serotonin transporter gene regulatory region polymorphism and the Tridimensional Personality Questionnaire (TPQ) temperament of harm avoidance , 1997, Molecular Psychiatry.

[162]  C. Patrick,et al.  Suicide Risk in Externalizing Syndromes: Temperamental and Neurobiological Underpinnings , 2002 .

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

[164]  D. Cole Psychopathology of adolescent suicide: hopelessness, coping beliefs, and depression. , 1989, Journal of abnormal psychology.

[165]  N. Farberow Personality patterns of suicidal mental hospital patients. , 1950, Genetic psychology monographs.

[166]  Gustavo Turecki,et al.  Impaired Repression at a 5-Hydroxytryptamine 1A Receptor Gene Polymorphism Associated with Major Depression and Suicide , 2003, The Journal of Neuroscience.

[167]  R. Diekstra,et al.  The specificity of psychological characteristics of adolescent suicide attempters. , 1993, Journal of the American Academy of Child and Adolescent Psychiatry.

[168]  B. Cox,et al.  Personality predictors of outcome for adolescents hospitalized for suicidal ideation. , 2003, Journal of the American Academy of Child and Adolescent Psychiatry.

[169]  A. Spirito,et al.  Predictors of Continued Suicidal Behavior in Adolescents Following a Suicide Attempt , 2003, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[170]  A. Sheldon-Keller,et al.  Attachment organization and history of suicidal behavior in clinical adolescents. , 1996, Journal of consulting and clinical psychology.

[171]  S. R. Robinson Kurpius,et al.  Risk factors of suicidal ideations and attempts in talented, at-risk girls. , 2004, Suicide & life-threatening behavior.

[172]  G. Turecki,et al.  Suicide and no axis I psychopathology , 2004, BMC psychiatry.

[173]  P. Hewitt,et al.  Dimensions of perfectionism and suicide ideation , 1994, Cognitive Therapy and Research.

[174]  R. Holden,et al.  Suicide, hopelessness, and social desirability: a test of an interactive model. , 1989, Journal of consulting and clinical psychology.

[175]  M. Alda,et al.  Risk factors for suicide completion in major depression: a case-control study of impulsive and aggressive behaviors in men. , 2005, The American journal of psychiatry.

[176]  R A Steer,et al.  Relationship between hopelessness and ultimate suicide: a replication with psychiatric outpatients. , 1990, The American journal of psychiatry.

[177]  T. Wehrly,et al.  Personality types and suicidal behavior: an exploratory study. , 2000, Suicide & life-threatening behavior.

[178]  B. Bondy,et al.  Possible association of the short allele of the serotonin transporter promoter gene polymorphism (5-HTTLPR) with violent suicide , 2000, Molecular Psychiatry.

[179]  R. Vilhjalmsson,et al.  Factors associated with suicide ideation in adults , 1998, Social Psychiatry and Psychiatric Epidemiology.

[180]  J. Angst,et al.  Personality, smoking and suicide: a prospective study. , 1998, Journal of affective disorders.

[181]  T. McGlashan,et al.  Axis I and axis II disorders as predictors of prospective suicide attempts: findings from the collaborative longitudinal personality disorders study. , 2003, Journal of abnormal psychology.

[182]  W. Eaton,et al.  Hopelessness, depression, substance disorder, and suicidality , 2004 .

[183]  D. Brent,et al.  The familial aggregation of adolescent suicide attempts , 1998, Acta psychiatrica Scandinavica.

[184]  Matthew K Nock,et al.  Examination of affective, cognitive, and behavioral factors and suicide-related outcomes in children and young adolescents. , 2002, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[185]  D. Rujescu,et al.  A polymorphism in the promoter of the serotonin transporter gene is not associated with suicidal behavior , 2001, Psychiatric genetics.

[186]  L. Siever,et al.  Biochemical endophenotypes in personality disorders. , 2003, Methods in molecular medicine.

[187]  A. Lesage,et al.  Suicide and mental disorders: a case-control study of young men. , 1994, The American journal of psychiatry.

[188]  V. Arango,et al.  Autoradiographic demonstration of increased serotonin 5-HT2 and beta-adrenergic receptor binding sites in the brain of suicide victims. , 1990, Archives of general psychiatry.

[189]  K. Lesch,et al.  Allelic variation in 5-HT1A receptor expression is associated with anxiety- and depression-related personality traits , 2003, Journal of Neural Transmission.

[190]  P. Duberstein,et al.  Age differences in the personality characteristics of suicide completers: preliminary findings from a psychological autopsy study. , 1994, Psychiatry.

[191]  R. Plutchik,et al.  Interrelationships among anxiety, aggression, impulsivity, and mood: A serotonergically linked cluster? , 1990, Psychiatry Research.

[192]  L. Abramson,et al.  Suicidality and cognitive vulnerability to depression among college students: a prospective study. , 1998, Journal of adolescence.

[193]  A. Beck,et al.  Hopelessness and eventual suicide: a 10-year prospective study of patients hospitalized with suicidal ideation. , 1985, The American journal of psychiatry.

[194]  P. Castrogiovanni,et al.  Suicidality and aggressive behaviour , 1998, Acta psychiatrica Scandinavica.

[195]  N. Brener,et al.  Suicidal ideation among college students in the United States. , 1999, Journal of consulting and clinical psychology.

[196]  Thomas A Widiger,et al.  The borderline diagnosis I: psychopathology, comorbidity, and personaltity structure , 2002, Biological Psychiatry.

[197]  J. Riskind,et al.  Desperate Acts for Desperate Times: Looming Vulnerability and Suicide , 2002 .

[198]  B. Roberts,et al.  The rank-order consistency of personality traits from childhood to old age: a quantitative review of longitudinal studies. , 2000, Psychological bulletin.

[199]  C. Dodrill,et al.  Emotional and intellectual correlates of unsuccessful suicide attempts in people with epilepsy. , 1986, Journal of clinical psychology.

[200]  A. Roy Characteristics of drug addicts who attempt suicide , 2003, Psychiatry Research.

[201]  K. Hawton,et al.  Comorbidity of axis I and axis II disorders in patients who attempted suicide. , 2003, The American journal of psychiatry.

[202]  G. Krarup,et al.  Personality, parental rearing behaviour and parental loss in attempted suicide: a comparative study , 1990, Acta psychiatrica Scandinavica.

[203]  M. Linehan,et al.  Interpersonal problem solving and parasuicide , 1987, Cognitive Therapy and Research.

[204]  L. Träskman-bendz,et al.  Hopelessness and suicidal behavior. , 1997, Journal of affective disorders.

[205]  P. P. Heppner,et al.  Use of different sources of stress to predict hopelessness and suicide ideation in a college population. , 1992 .

[206]  A. Beck,et al.  Prediction of eventual suicide in psychiatric inpatients by clinical ratings of hopelessness. , 1989, Journal of consulting and clinical psychology.

[207]  A. Preti,et al.  Suicidal ideation and aggressiveness in school-aged youths , 2003, Psychiatry Research.

[208]  Thomas E Joiner,et al.  Suicide attempts associated with externalizing psychopathology in an epidemiological sample. , 2004, The American journal of psychiatry.

[209]  P. Costa,et al.  Personality in adulthood , 1990 .

[210]  P. Duberstein,et al.  Violence, alcohol, and completed suicide: a case-control study. , 2001, The American journal of psychiatry.

[211]  A. Verstraete,et al.  Cortisol in violent suicidal behaviour: association with personality and monoaminergic activity. , 2000, Journal of affective disorders.

[212]  M. Daigle MMPI inmate profiles: suicide completers, suicide attempters, and non-suicidal controls. , 2004, Behavioral sciences & the law.

[213]  G. Engström,et al.  Clinical characteristics and biological parameters in temperamental clusters of suicide attempters. , 1997, Journal of affective disorders.

[214]  A. Roy,et al.  Genetics of suicides. Family studies and molecular genetics. , 1997, Annals of the New York Academy of Sciences.

[215]  I. Siegler,et al.  Self-Blame, Social Introversion, and Male Suicides: Prospective Data from a Longitudinal Study , 2003 .

[216]  M. O'Boyle,et al.  Suicide attempts, substance abuse, and personality. , 1998, Journal of substance abuse treatment.

[217]  D. Lester Suicidal Preoccupation and Dysthymia in College Students , 1987, Psychological reports.

[218]  S. J. Catanzaro Mood Regulation and Suicidal Behavior , 2002 .

[219]  Adrian Furnham,et al.  Personality and activity preference , 1981 .