The DOI matches its Crossref record; 156 of the 156 references it cites were found in a registry or an index.
A review of factors associated with greater likelihood of suicide attempts and suicide deaths in bipolar disorder: Part II of a report of the International Society for Bipolar Disorders Task Force on Suicide in Bipolar Disorder
Open accessAbstract
Objectives: Many factors influence the likelihood of suicide attempts or deaths in persons with bipolar disorder. One key aim of the International Society for Bipolar Disorders Task Force on Suicide was to summarize the available literature on the presence and magnitude of effect of these factors. Methods: A systematic review of studies published from 1 January 1980 to 30 May 2014 identified using keywords ‘bipolar disorder’ and ‘suicide attempts or suicide’. This specific paper examined all reports on factors putatively associated with suicide attempts or suicide deaths in bipolar disorder samples. Factors were subcategorized into: (1) sociodemographics, (2) clinical characteristics of bipolar disorder, (3) comorbidities, and (4) other clinical variables. Results: We identified 141 studies that examined how 20 specific factors influenced the likelihood of suicide attempts or deaths. While the level of evidence and degree of confluence varied across factors, there was at least one study that found an effect for each of the following factors: sex, age, race, marital status, religious affiliation, age of illness onset, duration of illness, bipolar disorder subtype, polarity of first episode, polarity of current/recent episode, predominant polarity, mood episode characteristics, psychosis, psychiatric comorbidity, personality characteristics, sexual dysfunction, first-degree family history of suicide or mood disorders, past suicide attempts, early life trauma, and psychosocial precipitants. Conclusion: There is a wealth of data on factors that influence the likelihood of suicide attempts and suicide deaths in people with bipolar disorder. Given the heterogeneity of study samples and designs, further research is needed to replicate and determine the magnitude of effect of most of these factors. This approach can ultimately lead to enhanced risk stratification for patients with bipolar disorder.
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“Only male sex and first‐degree family history of suicide have been significantly associated with suicide deaths.50, 51”
From Canadian Network for Mood and Anxiety Treatments ( CANMAT ) and International Society for Bipolar Disorders ( ISBD ) 2018 guidelines for the management of patients with bipolar disorder (2018) · cites this paper as [50]
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“Comorbidity impacts the course of BDs by increasing the likelihood of treatment resistance and suicide risk, and also by increasing the time spent with impairing symptoms.34, 50, 669, 670”
From Canadian Network for Mood and Anxiety Treatments ( CANMAT ) and International Society for Bipolar Disorders ( ISBD ) 2018 guidelines for the management of patients with bipolar disorder (2018) · cites this paper as [50]
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“Factors reported to be significantly associated with suicidal attempt include female sex, younger age of illness onset, depressive polarity of first illness episode, depressive polarity of current or more recent episode, comorbid anxiety disorder, comorbid SUD, comorbid cluster B/borderline personality disorder, first‐degree family history of suicide, and previous suicide attempts.”
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Citations
Cites
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Cited by
Sorted by citations
Items 101–120 of 120
Ethical Issues in the Diagnosis and Treatment of Bipolar Disorders
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“When a BD diagnosis is considered, previous suicide attempts may be considered an even stronger factor associated with future suicide attempts [40,41] and deaths by suicide [41].”
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Tariq, T., Sarmad, S., Sadiq, M. A., Akram, S., Saghir, S., Haq, F., Shahid, S., & Qureshi, J. A. (2022) · Pakistan Journal of Medical and Health Sciences · doi:10.53350/pjmhs22168240
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“118 Some of the factors (3) that raise the risk of suicide deaths in bipolar disorder are: male gender, older age (higher ratio of death/attempts), having more depressive, mixed or manic states with psychotic features, history of suicide attempts or suicide deaths in the family and the presence of psychosocial precipi…”
BackgroundFactors Associated with Suicide Attempt in Bipolar I Disorder: A Longitudinal Cohort StudyPreprint
Kao, C.-Y., Liu, I., Mazarakis, T., Wu, S., Hung, C., & Cheng, A. T. A. (2023) · SSRN Electronic Journal · doi:10.2139/ssrn.4505335
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Analysis of Russian studies of suicidal behavior in patients with bipolar affective disorder
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Metadata
- Authors
- Schaffer, A., Isometsä, E. T., Azorin, J.-M., Cassidy, F., Goldstein, T., Rihmer, Z., Sinyor, M., Tondo, L., Moreno, D. H., Turecki, G., Reis, C., Kessing, L. V., Ha, K., Weizman, A., Beautrais, A., Chou, Y.-H., Diazgranados, N., Levitt, A. J., Zarate, C. A., & Yatham, L.
- Affiliations
- Sunnybrook Health Science Centre (CA)
- University of Helsinki (FI)
- Aix-Marseille Université (FR)
- Duke University (US)
- University of Pittsburgh (US)
- Semmelweis University (HU)
- Harvard University (US)
- Universidade de São Paulo (BR)
- McGill University (CA)
- University of Copenhagen (DK)
- Seoul National University Bundang Hospital (KR)
- Tel Aviv University (IL)
- Yale University (US)
- Taipei Veterans General Hospital (TW)
- National Institutes of Health (US)
- National Institute of Mental Health (US)
- University of British Columbia (CA)
- Corresponding author
- Schaffer, Ayal
- ORCID
- Venue
- Australian & New Zealand Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2015-07-14
- Volume
- 49
- Issue
- 11
- Pages
- 1006-1020
- ISSN
- 0004-8674 (ISSN-L)
- 1440-1614
- PMC
- PMC5858693
- OpenAlex
- W2283508123
- Cited by
- 120
- References
- 156
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 11 · 2023: 14 · 2022: 9 · 2021: 11 · 2020: 14 · 2019: 13 · 2018: 11 · 2017: 14 · 2016: 10
- FWCI
- 1.60
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Australian & New Zealand Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Funders
- National Institutes of Health (Z99 MH999999)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- bipolar disorder, suicide attempts, suicide mortality, risk factors, risk stratification, comorbidities, psychosis, early trauma, family history of suicide, sexual dysfunction, personality traits
- MeSH terms
- Bipolar Disorder, Humans, Risk Factors, Suicide, Attempted, Comorbidity, Advisory Committees
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