Citation

Forte A, Montalbani B, Mastrangelo M, Anibaldi G, Luca GPD, Imbastaro B, Pompili M. Psychiatr. Ann. 2020; 50(4): 152-157.

Copyright

(Copyright © 2020, Healio)

DOI

10.3928/00485713-20200312-01

PMID

unavailable

Abstract

Patients with mixed states are at high risk of presenting with suicidal behavior. The article provides a broader picture of features commonly associated with suicide risk in mixed states. The authors performed a literature search using the following terms: " suicide" OR " suicidality" OR " suicidal" AND " mixed" AND " bipolar." Studies that did not report data on suicidal behaviors in mixed states and articles not written in English were excluded. Mania with mixed features, anxiety, psychomotor agitation and irritability, racing/crowded thoughts, severity of intra-episodic depressive symptoms, and time spent with depressive symptoms were associated with a greater risk of suicidal behavior. The Diagnostic and Statistical Manual of Mental Disorders, fifth edition, criteria for bipolar disorder " with mixed features" seeks to capture a significant number of these patients. The key is to recognize patients with mixed states and stabilize their mood through medication to prevent future suicidal behaviors. © SLACK Incorporated.

Language: en