OBJECTIVE: This study was designed to identify variables that correlate
with the risk of suicide in two patient groups that differ mainly in their
level of expressed aggression. METHOD: Twenty-eight psychiatric patients
with a history of violent behavior who were in a forensic psychiatric
facility were tested and compared to 28 psychiatric inpatients without a
history of violence who were admitted to a large municipal hospital.
Measures used included a battery of self-report questionnaires, with
acceptable reliability and validity, that provided indices of risk of
suicide, risk of violence, impulsivity, anger, anxiety, and various mood
states. RESULTS: The two groups, matched on demographic variables and
overall risk of suicide, differed significantly on the measured risk of
violence. The two groups showed similar patterns of correlations between
risk of suicide and such variables as risk of violence, anger, fear, state
and trait anxiety, lack of impulse control, suspiciousness, and
rebelliousness. They differed in the correlation between suicide risk and
depression. In the nonviolent patients there was a high correlation between
risk of suicide and sadness; in the violent patients there was no
correlation between these variables. CONCLUSIONS: The low correlation
between sadness and risk of suicide in the violent patients, and the low
prevalence of affective disorder diagnoses in these patients compared to
other patients, suggests that suicidal risk should be managed differently
in highly violent patients than in others.
Abstract Teaser