Document Detail

Suicidal ideation and suicide attempts in bipolar disorder type I: an update for the clinician.
MedLine Citation:
PMID:  19787156     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: This article reviews the evidence for the major risk factors associated with suicidal behavior in bipolar disorder. METHOD: Review of the literature studies on bipolar disorder, suicidal behavior and suicidal ideation. RESULTS: Bipolar disorder is strongly associated with suicide ideation and suicide attempts. In clinical samples between 14-59% of the patients have suicide ideation and 25-56% present at least one suicide attempt during lifetime. Approximately 15% to 19% of patients with bipolar disorder die from suicide. The causes of suicidal behavior are multiple and complex. Some strong predictors of suicidal behavior have emerged in the literature such as current mood state, severity of depression, anxiety, aggressiveness, hostility, hopelessness, comorbidity with others Axis I and Axis II disorders, lifetime history of mixed states, and history of physical or sexual abuse. CONCLUSION: Bipolar disorder is the psychiatric condition associated with highest lifetime risk for suicide attempts and suicide completion. Thus it is important to clinicians to understand the major risk factors for suicidal behavior in order to choose better strategies to deal with this complex behavior.
Lena Nabuco de Abreu; Beny Lafer; Enrique Baca-Garcia; Maria A Oquendo
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2009-08-07
Journal Detail:
Title:  Revista brasileira de psiquiatria (S??o Paulo, Brazil : 1999)     Volume:  31     ISSN:  1516-4446     ISO Abbreviation:  Rev Bras Psiquiatr     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-09-29     Completed Date:  2010-01-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100895975     Medline TA:  Rev Bras Psiquiatr     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  271-80     Citation Subset:  IM    
Bipolar Disorder Research Program, Department of Psychiatry, Medical School, Universidade de S??o Paulo, S??o Paulo, SP, Brazil.
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MeSH Terms
Bipolar Disorder / psychology*
Disease Susceptibility
Epidemiologic Studies
Life Change Events
Models, Psychological
Risk Factors
Stress, Psychological / complications*
Suicide, Attempted / psychology*

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