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Journal ArticleDOI

Epidemiology of suicide in bipolar disorders: a systematic review of the literature.

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TLDR
The aim of the present paper is to provide a systematic review of the existing literature on the epidemiology of completed suicides in adult patients with bipolar disorder (BD).
Abstract
OBJECTIVE: Suicidal behavior is a major public health problem worldwide, and its prediction and prevention represent a challenge for everyone, including clinicians. The aim of the present paper is to provide a systematic review of the existing literature on the epidemiology of completed suicides in adult patients with bipolar disorder (BD). METHODS: We performed a Pubmed/Medline, Scopus, PsycLit, PsycInfo, and Cochrane database search to identify all relevant papers published between 1980 and 2011. A total of 34 articles meeting our inclusion criteria were included in the present review. RESULTS: Several prospective follow-up contributions, many retrospective analyses, and a few psychological autopsy studies and review articles investigated the epidemiology of completed suicides in patients with BD. The main finding of the present review was that the risk for suicide among BD patients was up to 20-30 times greater than that for the general population. CONCLUSION: Special attention should be given to the characteristics of suicides in patients with BD. Better insight and understanding of suicide and suicidal risk in this very disabling illness should ultimately help clinicians to adequately detect, and thus prevent, suicidal acts in patients with BD. Language: en

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Citations
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Journal ArticleDOI

Structural-functional decoupling predicts suicide attempts in bipolar disorder patients with a current major depressive episode.

TL;DR: It is hypothesized that structure connectivity constrains functional connectivity, and structural–functional coupling is a more sensitive biomarker to detect subtle brain abnormalities than any single modality in BD patients with a current major depressive episode who had attempted suicide.
Journal ArticleDOI

The clinical characterization of the adult patient with bipolar disorder aimed at personalization of management

TL;DR: In this paper , the authors synthesize salient domains in the clinical characterization of the adult patient with bipolar disorder, with the overarching aim of improving health outcomes by informing patient management and treatment considerations.
Journal ArticleDOI

Tobacco smoking and other substance use disorders associated with recurrent suicide attempts in bipolar disorder

TL;DR: Regression analysis showed that tobacco smoking with- or without additional SUD can be important risk factors of SA recurrence in BD, which is likely to inform both research and prevention strategies.
Journal ArticleDOI

Serum oxytocin concentrations in current and recent suicide survivors are lower than in healthy controls

TL;DR: The results support the notion that suicide attempts are closely linked to suicide survivors' perceptions of the quality of their social lives, and serum oxytocin concentrations support this notion.
Journal ArticleDOI

Relative toxicity of mood stabilisers and antipsychotics: case fatality and fatal toxicity associated with self-poisoning

TL;DR: Estimating the relative toxicity of specific drugs within two drug categories, antipsychotics and mood stabilizers, using large-scale databases to provide evidence that could assist clinicians in making decisions about prescribing, especially for patients at risk of suicidal behaviour is relevant to prescribing policy.
References
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Journal ArticleDOI

Prevalence, Severity, and Comorbidity of 12-Month DSM-IV Disorders in the National Comorbidity Survey Replication

TL;DR: Although mental disorders are widespread, serious cases are concentrated among a relatively small proportion of cases with high comorbidity, as shown in the recently completed US National Comorbidities Survey Replication.
Journal ArticleDOI

Improving the quality of reports of meta-analyses of randomised controlled trials: the QUOROM statement

TL;DR: This report hopes this report will generate further thought about ways to improve the quality of reports of meta-analyses of RCTs and that interested readers, reviewers, researchers, and editors will use the QUOROM statement and generate ideas for its improvement.
Book

Bipolar Disorder

Book

Manic-Depressive Illness

TL;DR: In this paper, psychodynamic features of families with multigenerational bipolar manic-depressive illness are described, including avoidance of affect, unrealistic standards of conformity, absence of intimate relationships apart from family, displaced parental low self-esteem, and fears related to illness heritability.
Journal ArticleDOI

Suicide as an outcome for mental disorders. A meta-analysis.

TL;DR: Almost all mental disorders have an increased risk of suicide excepting mental retardation and dementia, which is highest for functional and lowest for organic disorders with substance misuse disorders lying between.
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