Association between solar insolation and a history of suicide attempts in bipolar I disorder

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Michael Bauer - , Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus Dresden (Author)
  • Tasha Glenn - , ChronoRecord Association (Author)
  • Martin Alda - , Dalhousie University (Author)
  • Ole A Andreassen - , University of Oslo (Author)
  • Elias Angelopoulos - , National and Kapodistrian University of Athens (Author)
  • Raffaella Ardau - , University of Cagliari (Author)
  • Yavuz Ayhan - , Hacettepe University Medical School (Author)
  • Christopher Baethge - , University of Cologne (Author)
  • Rita Bauer - , Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus Dresden (Author)
  • Bernhard T Baune - , Royal Adelaide Hospital (Author)
  • Claudia Becerra-Palars - , National Institute of Psychiatry '"Ramón de la Fuente Muñiz" (Author)
  • Frank Bellivier - , Université Paris Cité (Author)
  • Robert H Belmaker - , Ben-Gurion University of the Negev (Author)
  • Michael Berk - , Deakin University (Author)
  • Yuly Bersudsky - , Ben-Gurion University of the Negev (Author)
  • Şule Bicakci - , Atatürk Training and Research Hospital (Author)
  • Harriet Birabwa-Oketcho - , Butabika Hospital (Author)
  • Thomas D Bjella - , University of Oslo (Author)
  • Jorge Cabrera - , Dr. Jose Horwitz Psychiatric Institute (Author)
  • Eric Y Wo Cheung - , Castle Peak Hospital (Author)
  • Maria Del Zompo - , University of Cagliari (Author)
  • Seetal Dodd - , Deakin University (Author)
  • Markus Donix - , Department of Psychiatry and Psychotherapy, Institute and Polyclinic of Diagnostic and Interventional Neuroradiology, University Hospital Carl Gustav Carus Dresden (Author)
  • Bruno Etain - , Université Paris Cité (Author)
  • Andrea Fagiolini - , University of Siena Medical Center (AOUS) (Author)
  • Kostas N Fountoulakis - , Aristotle University of Thessaloniki (Author)
  • Mark A Frye - , Mayo Clinic Rochester, MN (Author)
  • Ana Gonzalez-Pinto - , University of the Basque Country (Author)
  • John F Gottlieb - , Northwestern University (Author)
  • Paul Grof - , University of Toronto (Author)
  • Hirohiko Harima - , Tokyo Metropolitan Matsuzawa Hospital (Author)
  • Chantal Henry - , Assistance publique - Hôpitaux de Marseille (Author)
  • Erkki T Isometsä - , Helsinki University Hospital (HUS) (Author)
  • Sven Janno - , University of Tartu (Author)
  • Flávio Kapczinski - , National Institute of Mental Health and Neuro Sciences (NIMHANS) (Author)
  • Mathias Kardell - , University of Gothenburg (Author)
  • Slim Khaldi - (Author)
  • Sebastian Kliwicki - , University of Medical Sciences Poznan (Author)
  • Barbara König - , BIPOLAR Zentrum Wiener Neustadt (Author)
  • Timur L Kot - , Khanty-Mansiysk Clinical Psychiatric Hospital (Author)
  • Rikke Krogh - , Aarhus University Hospital (AUH) (Author)
  • Mauricio Kunz - , National Institute of Mental Health and Neuro Sciences (NIMHANS) (Author)
  • Beny Lafer - , University of São Paulo Medical School (Author)
  • Mikael Landén - , University of Gothenburg (Author)
  • Erik R Larsen - , Aarhus University Hospital (AUH) (Author)
  • Ute Lewitzka - , Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus Dresden (Author)
  • Rasmus W Licht - , Aalborg University (Author)
  • Carlos Lopez-Jaramillo - , Hospital Universitario San Vicente Fundación (Author)
  • Glenda MacQueen - , University of Calgary (Author)
  • Mirko Manchia - , Dalhousie University (Author)
  • Wendy Marsh - , Massachusetts General Hospital (Author)
  • Mónica Martinez-Cengotitabengoa - , University of the Basque Country (Author)
  • Ingrid Melle - , University of Oslo (Author)
  • Fátima Meza-Urzúa - , National Institute of Psychiatry '"Ramón de la Fuente Muñiz" (Author)
  • Mok Yee Ming - , Centre for Addiction and Mental Health (CAMH) (Author)
  • Scott Monteith - , Michigan State University College of Human Medicine (MSUCHM) (Author)
  • Gunnar Morken - , St Olavs' University Hospital, Norwegian University of Science and Technology (Author)
  • Enrica Mosca - , University of Cagliari (Author)
  • Anton A Mozzhegorov - , Soviet Psychoneurological Hospital (Author)
  • Rodrigo Munoz - , University of California at San Diego (Author)
  • Starlin V Mythri - , Asha Hospital (Author)
  • Fethi Nacef - , Université de Tunis El Manar (Author)
  • Ravi K Nadella - , National Institute of Mental Health and Neuro Sciences (NIMHANS) (Author)
  • Fabiano G Nery - , University of São Paulo Medical School (Author)
  • René E Nielsen - , Aalborg University (Author)
  • Claire O'Donovan - , Dalhousie University (Author)
  • Adel Omrani - , Tunisian Bipolar Forum (Author)
  • Yamima Osher - , Ben-Gurion University of the Negev (Author)
  • Helle Østermark Sørensen - , Aalborg University (Author)
  • Uta Ouali - , Université de Tunis El Manar (Author)
  • Yolanda Pica Ruiz - , Hospital "Ángeles del Pedregal" (Author)
  • Maximilian Pilhatsch - , Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus Dresden (Author)
  • Marco Pinna - , Lucio Bini Mood Disorder Center (Author)
  • Francisco D R da Ponte - , National Institute of Mental Health and Neuro Sciences (NIMHANS) (Author)
  • Danilo Quiroz - , Universidad Diego Portales (Author)
  • Raj Ramesar - , University of Cape Town (Author)
  • Natalie Rasgon - , Stanford Medicine (Author)
  • M S Reddy - , Asha Hospital (Author)
  • Andreas Reif - , University Hospital Frankfurt (Author)
  • Philipp Ritter - , Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus Dresden (Author)
  • Janusz K Rybakowski - , University of Medical Sciences Poznan (Author)
  • Kemal Sagduyu - , University of Missouri (Author)
  • Bharathram Sathur Raghuraman - , National Institute of Mental Health and Neuro Sciences (NIMHANS) (Author)
  • Ângela M Scippa - , Universidade Federal da Bahia (Author)
  • Emanuel Severus - , University Hospital Carl Gustav Carus Dresden (Author)
  • Christian Simhandl - , BIPOLAR Zentrum Wiener Neustadt (Author)
  • Paul W Stackhouse - , NASA Langley Research Center (Author)
  • Dan J Stein - , University of Cape Town (Author)
  • Sergio Strejilevich - , Universidad Favaloro (Author)
  • Mythily Subramaniam - , Centre for Addiction and Mental Health (CAMH) (Author)
  • Ahmad Hatim Sulaiman - , University of Malaya (Author)
  • Kirsi Suominen - , City of Helsinki (Author)
  • Hiromi Tagata - , Tokyo Metropolitan Matsuzawa Hospital (Author)
  • Yoshitaka Tatebayashi - , Tokyo Metropolitan Institute of Medical Science (Author)
  • Leonardo Tondo - , McLean Hospital (Author)
  • Carla Torrent - , University of Barcelona (Author)
  • Arne E Vaaler - , St Olavs' University Hospital, Norwegian University of Science and Technology (Author)
  • Edgar Vares - , University Hospital Carl Gustav Carus Dresden (Author)
  • Julia Veeh - , University Hospital Frankfurt (Author)
  • Eduard Vieta - , University of Barcelona (Author)
  • Biju Viswanath - , National Institute of Mental Health and Neuro Sciences (NIMHANS) (Author)
  • Maria Yoldi-Negrete - , National Institute of Psychiatry '"Ramón de la Fuente Muñiz" (Author)
  • Mark Zetin - , Chapman University (Author)
  • Yosra Zgueb - , Université de Tunis El Manar (Author)
  • Peter C Whybrow - , University of California at Los Angeles (Author)

Abstract

In many international studies, rates of completed suicide and suicide attempts have a seasonal pattern that peaks in spring or summer. This exploratory study investigated the association between solar insolation and a history of suicide attempt in patients with bipolar I disorder. Solar insolation is the amount of electromagnetic energy from the Sun striking a surface area on Earth. Data were collected previously from 5536 patients with bipolar I disorder at 50 collection sites in 32 countries at a wide range of latitudes in both hemispheres. Suicide related data were available for 3365 patients from 310 onset locations in 51 countries. 1047 (31.1%) had a history of suicide attempt. There was a significant inverse association between a history of suicide attempt and the ratio of mean winter solar insolation/mean summer solar insolation. This ratio is smallest near the poles where the winter insolation is very small compared to the summer insolation. This ratio is largest near the equator where there is relatively little variation in the insolation over the year. Other variables in the model that were positively associated with suicide attempt were being female, a history of alcohol or substance abuse, and being in a younger birth cohort. Living in a country with a state-sponsored religion decreased the association. (All estimated coefficients p < 0.01). In summary, living in locations with large changes in solar insolation between winter and summer may be associated with increased suicide attempts in patients with bipolar disorder. Further investigation of the impacts of solar insolation on the course of bipolar disorder is needed.

Details

Original languageEnglish
Pages (from-to)1-9
Number of pages9
JournalJournal of psychiatric research
Volume113
Publication statusPublished - Jun 2019
Peer-reviewedYes

External IDs

Scopus 85063114648
ORCID /0000-0003-4286-5830/work/149437673
ORCID /0000-0002-2666-859X/work/149438724

Keywords

Sustainable Development Goals

Keywords

  • Age Factors, Age of Onset, Bipolar Disorder/complications, Climate, Female, Humans, Internationality, Male, Middle Aged, Risk Factors, Seasons, Sex Factors, Substance-Related Disorders/complications, Suicide, Attempted/psychology, Sunlight