@article{ref1,
title="Fatal suicidal behavior in Bipolar II patients after their first hospitalization",
journal="Revista de psiquiatrí́a y salud mental",
year="2022",
author="Nieto, E. and Plans, L. and Benabarre, A. and Palau, A. and Sanchez-Moreno, J. and Vieta, E.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="INTRODUCTION: Bipolar disorder, especially Bipolar II disorder, is a mental disorder with high risk of fatal suicide behavior (FSB). The aim of this study was determine rate and risk factors of FSB in a cohort of Bipolar II patients followed after their first hospitalization. Material and methods: We recruited all Bipolar II patients according DSM-IV criteria who were hospitalized for first time in our Psychiatric unit between 1996 and 2016 (N = 59). We collected clinical variables during their first hospitalization and identified all patients with FSB during follow-up until 31st December 2020. We compared baseline variables between Bipolar II patients with FSB and the ones without FSB. <br><br>RESULTS: The average age at FSB was 45.5 years old and there was a 2-year gap on average between the first psychiatric hospitalization and completed suicide. FSB was characterized by a violent act (83% of cases). When we compared Bipolar II patients who died by suicide with who died by other causes or they are alive, only a history of previous violent suicide attempt (p < 0.05) was detected as a risk factor significantly associated with FSB. 10% of Bipolar II inpatients died by suicide, all of them in the first five years after the first hospitalization and usually by a violent method. <br><br>CONCLUSIONS: Bipolar II disorder has a high rate of completed suicide. History of a previous violent suicide attempt is a predictor of completed suicide. © 2022 SEP y SEPB<p /><p>Language: en</p>",
language="en",
issn="1888-9891",
doi="10.1016/j.rpsm.2021.12.007",
url="http://dx.doi.org/10.1016/j.rpsm.2021.12.007"
}