Suicidal and violent behaviour in mood disorders: A major public health problem. A review for the clinician

Zoltan Rihmer, Xenia Gonda, Annamaria Rihmer, Konstantinos N. Fountoulakis

Research output: Contribution to journalReview article

10 Citations (Scopus)

Abstract

Suicide attempt, and particularly completed suicide are relatively rare events in the community, but they are very common among psychiatric patients. Since over 90% of suicide victims suffer from (mostly untreated) current major mental disorders (particularly from major depressive episode), psychiatric risk factors are the clinically most useful predictors, especially if psychosocial and demographic risk factors are also pesent. Violent behaviours associated with mood disorders constitute a related yet independently also important aspect of this illness, and assessment and management of violence is a key component of everyday psychiatric practice. While most people with current mental disorder are not violent, violence is more common among seriously mentally ill individuals than in healthy persons. This is particularly true for untreated schizophrenics and untreated patients with major mood disorders, first of all in the cases of comorbid substance use disorders, mainly among those with current mania or postpartum depression. Although specific clinical studies are lacking, it is very lilely that successful acute and long-tem treatment of mood disorders can reduce the risk of violent behaviour in this patient population.

Original languageEnglish
Pages (from-to)88-94
Number of pages7
JournalInternational Journal of Psychiatry in Clinical Practice
Volume14
Issue number2
DOIs
Publication statusPublished - Jun 11 2010

Keywords

  • Aggression
  • Criminality
  • Mood disorders
  • Suicide
  • Suicide attempt
  • Violence

ASJC Scopus subject areas

  • Psychiatry and Mental health

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