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Suicide in prisoners with bipolar disorder and other psychiatric disorders: a systematic review
Author(s) -
Fazel Seena,
Wolf Achim,
Geddes John R
Publication year - 2013
Publication title -
bipolar disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.285
H-Index - 129
eISSN - 1399-5618
pISSN - 1398-5647
DOI - 10.1111/bdi.12053
Subject(s) - bipolar disorder , psychiatry , depression (economics) , schizophrenia (object oriented programming) , odds ratio , psychology , clinical psychology , major depressive disorder , meta analysis , medicine , poison control , mood , medical emergency , economics , macroeconomics
Objectives To examine the risk of suicide and suicide attempts in prisoners with bipolar disorder and other psychiatric disorders compared with prisoners without psychiatric disorders. Methods We conducted a systematic review and meta‐analysis of observational studies comparing suicide outcomes in prisoners with bipolar disorder and other psychiatric disorders to other prisoners. Results Five studies reported the risk of suicidal outcomes in prisoners with bipolar disorder compared with other prisoners, with a random effects pooled odds ratio of 2.4 (95% confidence interval: 1.6–3.7; I 2 = 0%). This appeared to be lower than the risk of suicidal outcomes for all psychiatric disorders and for depression, specifically, and, in meta‐regression, significantly lower (p = 0.03) than for schizophrenia‐spectrum disorders. Conclusions Although bipolar disorder is associated with suicide and non‐fatal suicidal behavior in prisoners, further research is necessary to confirm any associations and mediating mechanisms.