Citation

Lopez-Castroman J, Baca-Garcia E, Oquendo MA. Rev. Psiquiatr. Salud Ment. 2009; 2(1): 42-48.

Copyright

(Copyright © 2009, Elsevier Publishing)

DOI

10.1016/S1888-9891(09)70713-X

PMID

unavailable

Abstract

Bipolar disorder is associated with high risk for suicidal behavior. Lack of adherence to treatment is one factor hat may be partly responsible for this common complication. We searched MEDLINE with the combination of the key words 'compliance' or 'adherence' with 'suicide' and 'bipolar', limited to English language papers published between 1990 and July 2008.We evaluate the existent literature studying the infl uence of treatment adherence on suicidality among these patients. Our fi ndings show a limited number of studies addressing this issue, mostly conducted with patients enrolled in lithium clinics.

RESULTS suggest an association between non-adherence and an increased risk of suicidal behavior among bipolar patients. Whether non-adherence leads to increase risk of suicidality due to specifi c properties of interventions such as lithium treatment or simply is secondary to mood stabilization is still an open question. © 2008 Elsevier España.

Language: es

Keywords

human; Suicide; MEDLINE; Comorbidity; bipolar disorder; mood; lithium; suicidal behavior; Lithium; comorbidity; article; patient compliance; Compliance