Citation

Cardoso TA, Mondin TC, Azevedo LB, Toralles LMD, de Mattos Souza LD. Psychiatry Res. 2018; 268: 473-477.

Affiliation

Universidade Católica de Pelotas - Programa de Pós-Graduação em Saúde e Comportamento, Brazil. Electronic address: luciano.dms@pq.cnpq.br.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/j.psychres.2018.08.026

PMID

30138860

Abstract

To assess predictors of the diagnosis of bipolar disorder is important since it is known that the early diagnosis is associated with a better response to the treatment. Thus, the aim of this systematic review is to assess the role of the suicide risk in the diagnosis conversion to bipolar disorder. We searched Pubmed, Bireme, Scopus, and PsycINFO with no year restriction for articles containing the words (suicidal or suicide or suicide risk or suicide attempt) and (conversion or switch) and (bipolar disorder or mania or hypomania or bipolar disorders). The review included four studies, with only one confirming that subjects who converted to bipolar disorder had higher rates of suicide risk than subjects who did not convert to bipolar disorder. The main limitation of this review is that few longitudinal studies assessed the predictors of conversion to bipolar disorders. In conclusion, suicide risk appears to be a predictor of bipolar disorder; nevertheless, more studies are needed to confirm this association.

Copyright © 2018. Published by Elsevier B.V.

Language: en

Keywords

Bipolar disorder; Conversion; Suicide risk; Systematic review