ArticleIndian journal of psychiatry2026
Impulsivity, emotional dysregulation, aggression, and hopelessness in suicide attempts among bipolar disorder patients: A cross sectional study.
Article in Indian journal of psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Suicide attempts are common in bipolar affective disorder (BPAD), but the contribution of enduring psychological traits to suicidal behavior during remission remains unclear. Aim: To compare impulsivity, aggression, emotional dysregulation, and hopelessness between remitted BPAD patients with and without a lifetime history of suicide attempts, and to identify independently associated factors of suicidal behavior. Materials and Methods: This cross-sectional comparative study included 150 remitted BPAD patients recruited from a tertiary-care psychiatry center in India. Participants were divided into suicide-attempt (n = 72) and non-attempt (n = 78) groups. The sample included 86 females and 64 males. Trait variables were assessed using the Barratt Impulsiveness Scale-11, Buss-Perry Aggression Questionnaire, Difficulties in Emotion Regulation Scale, and Beck Hopelessness Scale. Results: Patients with a lifetime history of suicide attempts had significantly higher impulsivity, aggression, and emotional dysregulation scores compared to non-attempters (all Conclusion: Impulsivity and emotional dysregulation appear to represent important trait-related vulnerabilities associated with suicide attempts in patients with remitted BPAD. Incorporating assessment of these dimensions into routine clinical evaluation may improve long-term suicide prevention strategies in bipolar disorder.
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