TY - JOUR PY - 1998// TI - Association of recurrent suicidal ideation with nonremission from acute mixed mania JO - American journal of psychiatry A1 - Goldberg, J. F. A1 - Garno, J. L. A1 - Leon, Andrew C. A1 - Kocsis, J. H. A1 - Portera, Laura SP - 1753 EP - 1755 VL - 155 IS - 12 N2 - OBJECTIVE: The authors' goal was to examine suicidality in relation to acute symptom remission in inpatients with mixed and pure bipolar disorder. METHOD: Using chart review of 184 adult inpatients with bipolar I disorder, the authors assessed patients' past and current suicidality, other psychopathology, treatment, and remission. RESULTS: Past, current, and recurrent suicidality were significantly more common among patients with mixed mania than among those with pure mania. The probability of remission declined by 49% for every suicide attempt made before the index manic episode. Mixed mania, multiple previous hospitalizations, and previous suicide attempts were significantly associated with current suicidality. CONCLUSIONS: Suicidality is linked with mixed manic states and may be a clinical marker for recurrent dysphoric mania. Multiple suicide attempts are associated with nonremission from mixed manic episodes.

Language: en

LA - en SN - 0002-953X UR - http://dx.doi.org/ ID - ref1 ER -