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Self-harm, Unintentional Injury, and Suicide in Bipolar Disorder During Maintenance Mood Stabilizer Treatment
Author(s) -
Joseph Hayes,
Alexandra Pitman,
Louise Marston,
Kate Walters,
John Geddes,
Michael King,
David Osborn
Publication year - 2016
Publication title -
jama psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.531
H-Index - 365
eISSN - 2168-6238
pISSN - 2168-622X
DOI - 10.1001/jamapsychiatry.2016.0432
Subject(s) - mood stabilizer , quetiapine , bipolar disorder , olanzapine , psychiatry , lithium (medication) , poison control , mood , medicine , lamotrigine , psychology , schizophrenia (object oriented programming) , medical emergency , epilepsy
Self-harm is a prominent cause of morbidity in patients with bipolar disorder and is strongly associated with suicide. There is evolving evidence that lithium use may reduce suicidal behavior, in addition to concerns that the use of anticonvulsants may increase self-harm. Information is limited about the effects of antipsychotics when used as mood stabilizer treatment. Rates of unintentional injury are poorly defined in bipolar disorder, and understanding drug associations with this outcome may shed light on mechanisms for lithium's potential antisuicidal properties through reduction in impulsive aggression.

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