Suicidal attempts in bipolar disorder: results from an observational study (EMBLEM)

Bellivier, Frank; Yon, Liova; Luquiens, Amandine; Azorin, Jean‐Michel; Bertsch, Jordan; Gerard, S.; Reed, Catherine; Lukasiewicz, Michaël

doi:10.1111/j.1399-5618.2011.00926.x

Cited by 70 publications

(59 citation statements)

References 45 publications

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“…[22] Other limitations were lack of data about stressful life events,about substance use/abuse at the time of the hospitalisation; 91 treatment with lithium in course of bipolar disorder; 30 the insufficient number of studies some potentially relevant risk factors for suicidal behavior, such as duration of untreated period and bipolar disorder treatment compliance [20,28] lack of the separate analysis of bipolar subtypes [15,53,99] and the difficult-totreat patients referred to the Bipolar Disorder Program, which may limit the ability to generalise our results to the whole spectrum of bipolar disorder [79]. Finseth Among men, the absolute risk of suicide (95% confidence interval [CI]) was highest for bipolar disorder.…”

Section: Resultsmentioning

confidence: 99%

“…The original articles represented The 20 studies were distributed into the previously determined into three categories as follows: Environmental andSocial Criteria (seventeen studies) [1,2,7,15,20,22,30,34,37,53,57,79,91,96,99,107,127]; Genetic Criteria (two studies) [110,127]; BiologicalCriteria (one study) [161]. The categorization of studies aims to a better organizational quality systematic review.…”

Section: Cassidy F [53] 2011mentioning

confidence: 99%

“…Moreover, females who attempted suicide were as likely to have attempted suicide by a more violent method as males [175,181]. Although, it was observed that some authors categorized the female gender as a risk factor [176,181]. Parmentier et al (2012) [177,181] observed that reported rates of suicide attempts among women with bipolar disorders are about twice as high as among men with bipolar disorders, suggesting greater lethality of suicide attempts in men.…”

Section: )mentioning

confidence: 99%

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Correlation between Bipolar Affective Disorder and Suicide reviewing by the risk factors: a systematic review

Souza¹,

Ferreira²,

Oliveira³

et al. 2015

Int Arch Med

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Background: Because there are several reports associations between affective (AD) and bipolar disorder (BD) and suicide, the research develops a discussion of risk factors that influence the occurrence of suicide attempts in patients with BD. Objectives:To relate risk factors present in patients with bipolar disorder who committed suicide or some suicide attempt. Methods:A survey was made in Scopus with the keyword "bipolar" and the terms "suicide" and "attempted"and "risk factors" from Medical Subject Headings (MeSH). We use only Scopus as the data source, and the statistical information available in tables and graphs provided from this source. Results:Frequently the AD and BD were associated with suicide occurrence in the studies included in this review. They identified the main risk factors for suicide the previous suicide attempt and hopelessness. The main risk factors for nonfatal suicidal behavior included family history of suicide, early onset of bipolar disorder, extent of depressive symptoms, increasing severity of affective episodes, the presence of mixed affective states, rapid cycling, comorbid Axis I disorders, and abuse of alcohol or drugs. The suicide rate in this disorder reaches three times compared with other mental illnesses, and there are several risk factors: 3:1 ratio of suicide in men compared to women, but in females a greater number of attempts are observed. 25% of persons consume alcohol prior to suicidal attempt. The studies relate these factors and show how they can pose a risk to the carrier of the disorder. There are other risk factor for BD discussed on this review. IntroductionBipolar affective disorder (BD) is characterized by episodes of depression and hypomania and / or mania. BD has been responsible for the higher rate of suicidal behavior compared to any other mental disorder [1,2]. It is a potentially lethal disease with a high risk of suicide completed, which again is associated with a history of suicide attempts [2]. During life, about 61% of patients with BD experiencing suicidal ideation, 25% to 56% will attempt suicide, and between 10% and 19% die from suicide2. Several studies suggest that previous suicide attempts of bipolar patients may indicate that they are over than 50% more likely to complete suicide [2]. A better understanding of the characteristics and risk factors related to suicide attempts is the first step to prevent future attempts and early detection of risk patients [1,2].Suicide is a tragic potential outcome for patients with bipolar disorder, and unfortunately, this event is not uncommon. Twenty-five percent to 50% of all bipolar patients have been found to attempt suicide at leart once in their lifetime, with 11% to 19% of bipolar patients eventually dying of suicide and standardized mortality ratio for suicide of 12.3 [3-7].There is evidence that suicide rates among mood disorder patients are more than 20-fold higher than in the general population and that suicidal behavior is much more lethal in bipolar disorder than in the general populati...

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Section: Resultsmentioning

confidence: 99%

Section: Cassidy F [53] 2011mentioning

confidence: 99%

Section: )mentioning

confidence: 99%

See 1 more Smart Citation

Correlation between Bipolar Affective Disorder and Suicide reviewing by the risk factors: a systematic review

Souza¹,

Ferreira²,

Oliveira³

et al. 2015

Int Arch Med

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“…Stope relapsa iznose oko 50% za jednu godinu i do 70% u toku 4 godine praćenja [1,2], a stope suicida su takodje visoke, od 20%-30% [3,4]. Medju pacijentima sa bipolarnim I i bipolarnim II poremećajem hronicititet i neprekinuti periodi poremećaja su retki, ali većina pacijenata ima rekurentne epizode (90%), uglavnom multiple.…”

Section: Uvodunclassified

Cognitive-behavioral therapy in the treatment of bipolar affective disorder

Batinić¹,

Duišin²,

Milovanović³

2015

Engrami

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Kratak sadržajUprkos napretku u farmakološkom tretmanu bipolarnog afektivnog poremećaja, značajan broj pacijenata doživljava ponavljane epizode, subsindromalne simptome i kontinuirana psihosocijalna oštećenja između epizoda, kao i slabo prihvatanje farmakoterapije. Pacijenti sa bipolarnim afektivnim poremećajem se suočavaju sa hroničnim tokom poremećaja, specifičnim problemima vezanim za depresivne i manične epizode, stigmatizacijom, životnim događajima i stresorima koji provociraju nove epizode, doživotnim korišćenjem lekova, narušava-njem socio-profesionalnih kompetencija, kao i pitanjima herediteta.Pregled literature ukazuje da primena kognitivno-bihejvioralne terapije (KBT) kao dodatak na farmakoterapijski tretman redukuje težinu simptoma, povećava efekat stabilizatora raspoloženja u redukciji stopa relapsa, modifikuje disfunkcionalne kognicije i ponašanja koja mogu pogoršati tok poremećaja, poboljšava prihvatanje farmakoterapijskog režima, razvija kognitivnobihejvioralne veštine od pomoći pacijentu u prevladavanju prodroma novih epizoda, redukciji stresa i vulnerabilnosti, poboljšava interpersonalno funkcionisanje i porodične komunikacije. Pored individualne, i dodavanja grupne KBT stabilizatorima raspoloženja se pokazalo efikasnim u redukciji simptoma manije, depresije i anksioznosti, kao i manjem broju i kraćem trajanju izmena raspoloženja.U radu su predstavljeni kognitivni model bipolarnog afektivnog poremećaja, kao i osnovni principi kognitivno-bihejvioralnog tretmana koji uključuju optimizaciju terapijskog saveza, normalizaciju i destigmatizaciju iskustva mentalnog poremećaja, psihoedukaciju, strategije za ranu detekciju poremećaja, kognitivnu restrukturaciju i bihejvioralne veštine, poboljšanje prihvatanja farmakoterapije, tretman komorbidnih poremećaja, razvoj individualnih veština za prevenciju relapsa kao i porodične intervencije.Ključne reči: kognitivno-bihejvioralna terapija, bipolarni afektivni poremećaj

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“…Suicide rate is reported to be as high as 20%-30% in bipolar patients (Bellivier et al, 2011;Valtonen et al, 2005). Therefore, maintenance pharmacological treatmentis highly recommended for these patients, as well as other forms of treatments (Ghaemi et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

Psychoeducation for Bipolar Mood Disorder

Bordbar¹,

Farıdhosseını²

2012

Clinical, Research and Treatment Approaches to Affective Disorders

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Suicidal attempts in bipolar disorder: results from an observational study (EMBLEM)

Abstract: These factors may be considered as potential characteristics to identify subjects at risk for suicidal behavior throughout the course of bipolar disorder.

Cited by 70 publications

References 45 publications

Correlation between Bipolar Affective Disorder and Suicide reviewing by the risk factors: a systematic review

Correlation between Bipolar Affective Disorder and Suicide reviewing by the risk factors: a systematic review

Cognitive-behavioral therapy in the treatment of bipolar affective disorder

Psychoeducation for Bipolar Mood Disorder

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