{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T03:03:34Z","timestamp":1776913414816,"version":"3.51.2"},"reference-count":45,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,11,19]],"date-time":"2018-11-19T00:00:00Z","timestamp":1542585600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007270","name":"University of Michigan","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007270","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Suicide &amp;amp; Life Threat Behav"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the effects of mood and anxiety symptoms in relation to personality dimensions and clinical features such as trauma and substance use on suicidal behaviors in a longitudinal sample of individuals with bipolar illness (<jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content>) and healthy controls (<jats:styled-content style=\"fixed-case\">HC<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Mood, personality, and clinical features were assessed in 151 individuals with <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content> I and 119 <jats:styled-content style=\"fixed-case\">HC<\/jats:styled-content>. Clinical data were collected at baseline and at 2\u2010year follow\u2010up. Personality traits were measured using the <jats:styled-content style=\"fixed-case\">NEO PI<\/jats:styled-content>\u2010R.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In bivariate analyses, personality measures were significantly different between <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">HC<\/jats:styled-content>, and between <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content> based on suicide attempt history. However, in regression analyses, baseline measures of depression, mania, anxiety, trauma, education, and age of <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content> onset correlated with personality domains, while a history of suicide attempts did not. Logistic regressions showed that prospective depression or mania, and a pattern of mixed mood features and chronicity of illness, along with two Neuroticism facet scores (N4\u2014Self\u2010Consciousness and N6\u2014Vulnerability) were predictive of suicide ideation (<jats:styled-content style=\"fixed-case\">SI<\/jats:styled-content>) in the 2\u2010year follow\u2010up period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>While dimensions of personality, trauma, and substance use clearly correlated with suicidal behaviors in <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content>, in multivariate models emerging mood symptoms were the most robust predictors of suicidality. These results reinforce the importance and attributable role of mood and anxiety symptoms in evaluating suicidal risk.<\/jats:p><\/jats:sec>","DOI":"10.1111\/sltb.12529","type":"journal-article","created":{"date-parts":[[2018,11,19]],"date-time":"2018-11-19T11:21:29Z","timestamp":1542626489000},"page":"1360-1378","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Mood, Dimensional Personality, and Suicidality in a Longitudinal Sample of Patients with Bipolar Disorder and Controls"],"prefix":"10.1111","volume":"49","author":[{"given":"Masoud","family":"Kamali","sequence":"first","affiliation":[{"name":"Department of Psychiatry University of Michigan Ann Arbor MI USA"},{"name":"Department of Psychiatry Massachusetts General Hospital and Harvard Medical School Boston MA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erika F. 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