Cited by 382Suicide and Self-Harm StudiesBipolar Disorder and TreatmentPersonality Disorders and Psychopathology

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Suicide risk in mood disorders

Rihmer, Zoltán·2007·Current Opinion in Psychiatry

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Abstract

PURPOSE OF REVIEW: The aim of this review is to highlight the traditional and newly recognized suicide risk factors in patients with mood disorders. RECENT FINDINGS: Current research findings clearly suggest that suicidal behaviour in patients with mood disorder is a 'state-dependent' phenomenon. Recently, there is, however, a growing body of evidence that besides the well accepted clinically explorable suicide risk factors in mood disorders (e.g., severe depression, prior suicide attempt, comorbid anxiety, substance use, personality disorders and so on), mixed state of depression could also be an important precursor of suicidal behaviour. This might be particularly true in unrecognized cases of bipolar depressives, when antidepressant monotherapy (unprotected by mood stabilizers or atypical antipsychotics) can worsen the clinical picture and rarely induce an aggressive or self-destructive behaviour. SUMMARY: In the majority of patients with mood disorders, suicidal behaviour is predictable and preventable, with a good chance. A careful and systematic exploration of suicide risk factors in patients with mood disorder helps clinicians to identify patients at high suicide risk. A successful, acute and long-term treatment of these patients substantially reduces the suicidal behaviour even in this high-risk population.

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Authors: Rihmer, Z.
Affiliations: Semmelweis University (HU)
Corresponding author: Rihmer, Zoltán
Venue: Current Opinion in Psychiatry
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2007-01
Volume: 20
Issue: 1
Pages: 17-22
ISSN: 0951-7367 (ISSN-L)
DOI: 10.1097/yco.0b013e3280106868
OpenAlex: W2068198479
Cited by: 382
References: 59
Citations by year: 2026: 7 · 2025: 10 · 2024: 13 · 2023: 16 · 2022: 15 · 2021: 12 · 2020: 20 · 2019: 15 · 2018: 17 · 2017: 19 · 2016: 29 · 2015: 21 · 2014: 24 · 2013: 27 · 2012: 24
FWCI: 2.87
Type: journal article
Language: en
Open access: closed
Locations: Current Opinion in Psychiatry (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Keywords: suicide risk, mood disorders, suicide risk factors, bipolar depression, bipolar disorder, severe depression, previous suicide attempts, anxiety comorbidity, substance use, personality disorders, suicide prevention
MeSH terms: Adolescent, Adult, Cause of Death, Child, Humans, Risk Factors, Suicide, Suicide, Attempted, Comorbidity, Mood Disorders

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