期刊
PSYCHIATRIC CLINICS OF NORTH AMERICA
卷 39, 期 1, 页码 111-+出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.psc.2015.09.002
关键词
Bipolar; Depression; Suicide; Lithium; Antidepressants; Risk factors
类别
Suicide behaviors (ideation, attempts, and completions) are unfortunately common in patients with bipolar disorder. It is estimated that 25 to 50% attempt suicide at least once during their lifetime, and 6% to 19% complete suicide. Risk factors include a family history of suicide, previous suicide attempts, younger age of onset, comorbid psychiatric illnesses, and psychological constructs like hopelessness. Pharmacologic treatment may impact suicidal behaviors, either increasing vulnerability or resilience. Clinicians need to be particularly sensitive to their patient's thoughts and beliefs about death, particularly during stressful times of life or when in a depressive/mixed episode of bipolar disorder.
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