Epidemiology of suicide in bipolar disorders: a systematic review of the literature.

Maurizio Pompili, Xenia Gonda, Gianluca Serafini, Marco Innamorati, Leo Sher, Mario Amore, Zoltan Rihmer, Paolo Girardi

Research output: Contribution to journalReview article

171 Citations (Scopus)

Abstract

Suicidal behavior is a major public health problem worldwide, and its prediction and prevention represent a challenge for everyone, including clinicians. The aim of the present paper is to provide a systematic review of the existing literature on the epidemiology of completed suicides in adult patients with bipolar disorder (BD). We performed a Pubmed/Medline, Scopus, PsycLit, PsycInfo, and Cochrane database search to identify all relevant papers published between 1980 and 2011. A total of 34 articles meeting our inclusion criteria were included in the present review. Several prospective follow-up contributions, many retrospective analyses, and a few psychological autopsy studies and review articles investigated the epidemiology of completed suicides in patients with BD. The main finding of the present review was that the risk for suicide among BD patients was up to 20-30 times greater than that for the general population. Special attention should be given to the characteristics of suicides in patients with BD. Better insight and understanding of suicide and suicidal risk in this very disabling illness should ultimately help clinicians to adequately detect, and thus prevent, suicidal acts in patients with BD.

Original languageEnglish
Pages (from-to)457-490
Number of pages34
JournalUnknown Journal
Volume15
Issue number5
DOIs
Publication statusPublished - Aug 2013

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry

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    Pompili, M., Gonda, X., Serafini, G., Innamorati, M., Sher, L., Amore, M., Rihmer, Z., & Girardi, P. (2013). Epidemiology of suicide in bipolar disorders: a systematic review of the literature. Unknown Journal, 15(5), 457-490. https://doi.org/10.1111/bdi.12087