Introduction: Patients with BD are at higher risk of suicide. 20% to 56% of them will attempt and 10% to 15% will die by suicide. While the assessment of suicidal risk is mainly based on risk factors, resilience factors remain to date an unexplored field of research in this population.
Objective: study of risk and protection factors of suicide in patients with bipolar disorder (BD)
METHODS: case-control study of patients with BD in the University Psychiatric Department of Marrakech (January-December 2017). A case was defined as any patient with DSM-IV diagnosis of BD with a previous suicide attempt. We evaluated socio demographic, clinical and psychological factors (intrinsic spirituality scale for spirituality, Birchwood scale for insight, and Rosenberg for self-esteem).
Results: 75 patients were included, 25 of whom were suicidal. The average age of the patients was 34 years, the majority was female(68%) and had a type I BD (80%). Suicidality has been significantly correlated with alcohol and tobacco use, type IIBD, and more depressive episodes.
Higher scores on the scales of spirituality, insight, and self-esteem were significantly correlated with lack of suicidality (p <0.001 for 3 variables).
As for pharmacological management prior to hospitalization, we found no difference between the two groups regardless of the molecule used. However, discontinuation of treatment and poor compliance were correlated with suicidal risk.
Conclusion:
Resilience factors such as spirituality are important considerations in the assessment and management of a bipolar patient.
Management strategies targeting the empowerment of resilience factors could be an important lever in the prevention of suicidal behavior.

01 - SPIRITUALITY AS A PROTECTION FACTOR AGAINST SUICIDE IN PATIENTS WITH BIPOLAR DISORDER