Suicide in Subtypes of Major Affective Disorder

Donald W. Black

78 citations0/0 files storedArchives of General Psychiatry

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Suicide and Self-Harm Studies Treatment of Major Depression Bipolar Disorder and Treatment

Abstract

We investigated the risk of suicide among 705 patients with primary unipolar depression, 302 patients with secondary unipolar depression, and 586 patients with bipolar affective disorder (BAD). The suicide rates among the study subjects were compared with that of the general population of Iowa, the area from which the subjects were selected. An increased risk of suicide was found in all psychiatric groups, except the group of female patients with BAD, which was associated with a lower risk of suicide than unipolar disorders. Thirty suicides (73.2%) occurred during the first two years of follow-up; this trend was particularly pronounced in female patients with primary unipolar depression and male patients with BAD.

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References

1970Suicide and Primary Affective Disorders 1982Excess Mortality in Panic Disorder 1978Suicide in Schizophrenics, Manics, Depressives, and Surgical Controls 1969The Mortality Experience of a Population with Psychiatric Illness 1985Mortality in a Follow-up of 500 Psychiatric Outpatients 1985The Iowa Record-Linkage Study 1985Excess mortality among psychiatric patients. The Iowa Record-Linkage Study 1982Mental illness and mortality

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2014Suicide in first episode psychosis: A nationwide cohort study 2002Criminality and Violence among the Mentally Disordered: The Stockholm Metropolitan Project 2004Suicide attempts: differences between unipolar and bipolar patients and among groups with different lethality risk 1990The dexamethasone suppression test and completed suicide 2007The Relationship Between Suicide Ideation and Late-Life Depression

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