TY  - JOUR
PY  - 2020//
TI  - Mixed episodes and suicide risk: a community sample of young adults
JO  - Journal of affective disorders
A1  - Sverdlichenko, Irina
A1  - Jansen, Karen
A1  - Souza, Luciano Dias de Mattos
A1  - da Silva, Ricardo Azevedo
A1  - Kapczinski, Flavio
A1  - Cardoso, Taiane de Azevedo
SP  - 252
EP  - 257
VL  - 266
IS  - 
N2  - BACKGROUND: Suicide is the second leading cause of death among young adults worldwide, and few studies have assessed the factors associated with suicidality in this specific population. Thus, the aim of this study was to assess the association between mixed episodes and suicidality in a community sample of young adults. For this aim, we compared young adults in a mixed episode with individuals in a depressive or (hypo)manic episode, and community controls. <br><br>METHOD: This is a cross-sectional population-based study including young adults aged 18-24 years old. Information about participants' age, sex, self-reported skin color and study status were obtained using a sociodemographic questionnaire. Mixed, (hypo)manic and depressive episodes, as well as suicide risk were assessed using the Mini International Neuropsychiatric Interview. <br><br>RESULTS: The sample included 1560 individuals. Young adults in a mixed episode showed a 13.50 times higher probability to have suicide risk, as compared to community controls (p < 0.001), 5.67 higher probability to have suicide risk as compared to individuals in a (hypo)manic episode (p < 0.001), and 2.18 times higher probability to have suicide risk as compared to young adults in a depressive episode (p < 0.001). LIMITATION: The assessment of suicide risk includes both suicide attempts and ideation. <br><br>CONCLUSION: Young adults in a mixed episode showed a higher rate of suicide risk than individuals with depression or mania/hypomania. Considering the already increasing prevalence of suicide among young adults, there is an urgent need for the early diagnosis and treatment of mixed episodes in this specific population.<br><br>Copyright © 2020. Published by Elsevier B.V.<p />  <p>Language: en</p>
LA  - en
SN  - 0165-0327
UR  - http://dx.doi.org/10.1016/j.jad.2020.01.111
ID  - ref1
ER  -