Clinician Experiences With Telepsychiatry Collaborative Care for Posttraumatic Stress Disorder and Bipolar Disorder

Hoeft, Theresa J.; Hall, Jennifer; Solberg, Leif I.; Takamine, Linda; Danna, Maria; Fortney, John C.; Shushan, Stephanie; Cohen, Deborah J.

doi:10.1176/appi.ps.202100595

Cited by 1 publication

(1 citation statement)

References 43 publications

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“…In this context, it is important to recognize that BD shares with cPTSD several features: the multifactorial etiopathogenesis, the complex role played by trauma, the worsening of the quality of life, the prolonged course of the disorder, and the significant increase in suicidal risk [7]. Moreover, similarly to cPTSD, BD is a common severe condition in psychiatry primary care, and there is a growing body of literature demonstrating the effectiveness of a combined intervention to treat this comorbidity [8,9]. As noted, suicidal behavior is very frequent among subjects with BD, as up to 4-19% of them attempt suicide to end their life, while 20-60% of them attempt suicide at least once in their lifetime [10].…”

Section: Introductionmentioning

confidence: 99%

The Impact of Complex PTSD on Suicide Risk in Patients with Bipolar Disorder: A Cross-Sectional Study

Iazzolino,

Valenza,

D’Angelo

et al. 2024

JCM

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Background: Patients with bipolar disorder (BD) are more likely than the general population to experience traumatic events, particularly during childhood, and these may predict and be a risk factor for the development of complex PTSD (cPTSD). The presence of multiple traumas plays a relevant role from a psychopathological point of view, but little is known about the effect this may have on suicide attempts in patients with BD. Methods: A cross-sectional study was conducted comparing socio-demographic and clinical characteristics, recruiting 344 patients diagnosed with BD I and II, screened for the presence (or absence) of cPTSD using the International Trauma Questionnaire (ITQ). Suicide attempts were assessed directly during the clinical interview and from the patient’s medical record. Results: The results emerging from the study indicate that cPTSD can be considered a risk factor for suicide attempts in patients with BD. Furthermore, evidence is provided to support the idea that cPTSD is highly prevalent in patients with BD and is related to a higher psychopathological burden. Conclusions: The results recommend an urgent and comprehensive assessment of suicidal risk in patients with comorbidity of both bipolar disorder and cPTSD. There is a crucial demand for early intervention initiatives and proactive prevention strategies to address the intricate intersection of these mental health challenges.

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