@article{ref1,
title="Suicide risk in mixed states: Clinical and preventive perspectives",
journal="Psychiatric Annals",
year="2020",
author="Forte, A. and Montalbani, B. and Mastrangelo, M. and Anibaldi, G. and Luca, G.P.D. and Imbastaro, B. and Pompili, M.",
volume="50",
number="4",
pages="152-157",
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: &quot; suicide&quot; OR &quot; suicidality&quot; OR &quot; suicidal&quot; AND &quot; mixed&quot; AND &quot; bipolar.&quot; 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 &quot; with mixed features&quot; 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.<p /><p>Language: en</p>",
language="en",
issn="0048-5713",
doi="10.3928/00485713-20200312-01",
url="http://dx.doi.org/10.3928/00485713-20200312-01"
}