Epidemiology of suicide in bipolar disorders: a systematic review of the literature
Article first published online: 12 JUN 2013
© 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Special Issue: Guest Editors – Frederick Cassidy and Christopher Baethge
Volume 15, Issue 5, pages 457–490, August 2013
How to Cite
Epidemiology of suicide in bipolar disorders: a systematic review of the literature. Bipolar Disord 2013: 15: 457–490.© 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd, , , , , , , .
- Issue published online: 6 AUG 2013
- Article first published online: 12 JUN 2013
- Manuscript Accepted: 11 SEP 2012
- Manuscript Received: 13 OCT 2011
- bipolar disorder;
- completed suicides;
- risk factors;
- suicide rates
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.