Combined depression, defined as longitudinal shifts between recurrent brief depressive disorder (RBD) and major depressive disorder (MDD), seems to be an important clinical factor that predicts suicide attempts in patients.
Risk is similar to risk factors such as substance use disorders and borderline personality disorder, Austrian researchers report.
“All of these factors share the same diathesis for increase impulsivity and suicidal ideation, which could explain comorbidity and suicidal behaviour,” say investigators from the University of Vienna.
They suggest that greater propensity for suicidal ideation and impulsivity in RBD could also explain why such patients are more prone to attempt suicide even if they do not meet the duration criteria for MDD.
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