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Contribution title 3122 - Differences between suicidal ideation and rates of exposure to live events, among other clinical variables, in bipolar adolescents vs. community control samples.
Contribution code PS03-32 (P)
Authors
  1. Iria Mendez Institut Clinic de Neurociències, Hospital Clínic i Provincial Presenter
  2. Sara Lera Institut Clinic de Neurociències, Hospital Clínic i Provincial
  3. Marisol Picado Institut Clinic de Neurociències, Hospital Clínic i Provincial
  4. Pilar Santamarina Institut Clinic de Neurociències, Hospital Clínic i Provincial
  5. Elena Font Institut Clinic de Neurociències, Hospital Clínic i Provincial
  6. Soledad Romero Hospital Clinic
Form of presentation Poster
Topic
  • Adolescent
  • Trauma
Abstract BACKGROUND: Previous studies in adult populations have highlighted high rates of mortality and morbidity in bipolar disorders. The level of impairment in the early stages of the illness is less documented.

OBJECTIVE: To analyze suicidal and para-suicidal ideation and behaviors, previous exposure to live events, levels of functionality and sub-syndromal symptoms between euthymic adolescent bipolar cases and community youths.

METHOD: Cross-sectional case-control study, with 47 euthymic bipolar adolescents (ages 12-18y/o) and their parents, matched by sex and age with 44 healthy families. Cases and controls were tested with a battery of hetero and self-reported tests, as well as face-to-face interviews. All analyses were performed with conditional logistic regression analysis, using backward-stepwise selection.

RESULTS: Having a diagnosis of bipolar disorder was associated with an increased risk for suicidal ideation and self-injuries behaviors, but not for suicidal behavior in our sample. Both the number and the intensity of previous exposure to live events were more associated with being bipolar. Lower academic performance and lower levels of functionality were also more related with bipolar disorders. Interesting, both bipolar and community volunteers reported subsyndromal symptoms of depression, mania, psychotic symptoms and inattention problems, although bipolar cases in a higher degree.

CONCLUSIONS: Bipolar disorder in youth was related with an increased risk for suicidal ideation and self-injuries. Even during euthymic inter-episodes, subsyndromal symptoms were persistent, as well as difficulties for daily life.