TY - JOUR
T1 - Juvenile bipolar disorder and suicidality
T2 - A review of the last 10 years of literature
AU - Halfon, Natacha
AU - Labelle, Réal
AU - Cohen, David
AU - Guilé, Jean Marc
AU - Breton, Jean Jacques
N1 - Funding Information:
Finally, the generalizability of this review is limited because 6 of the 16 articles included in the review [, , , , , ] used data from the Course and Outcome of Bipolar Illness in Youths (COBY) study. Supported by the National Institute of Mental Health (NIMH), the COBY study is jointly conducted by the University of Pittsburgh, Brown University, and the University of California (Los Angeles). Although the COBY study is the largest study conducted on a pediatric bipolar population, the use of COBY data in multiple articles limits the generalizability of the findings of our review. Further, it must be noted that 81 % of the articles reviewed were published in the United States and caution must be exercised when applying results to other countries where there exist variations in cultural contexts and healthcare systems. Recently, Bellivier et al. [], comparing two large samples of American and European bipolar patients, supported this hypothesis by showing a higher proportion of patients in the early-onset subgroup and the lower mean age-at-onset in the sample from the United States.
PY - 2013/3
Y1 - 2013/3
N2 - Although children and adolescents with bipolar disorder (BD) are at elevated risk for suicide, little research to date has been conducted on suicidality in this population. The purpose of this descriptive review of the past 10 years of scientific literature on suicidality in youths with BD was to identify the risk and protective factors associated with this phenomenon, and to discuss the implications for research and clinical practice. Searches on Medline and PsycINFO databases for the period from early 2002 to mid-2012 yielded 16 relevant articles, which were subsequently explored using an analysis grid. Note that the authors employed a consensus analysis approach at all stages of the review. Four primary categories of risk factors for suicidality in youths with BD were identified: demographic (age and gender), clinical (depression, mixed state or mixed features specifier, mania, anxiety disorders, psychotic symptoms, and substance abuse), psychological (cyclothymic temperament, hopelessness, poor anger management, low self-esteem, external locus of control, impulsivity and aggressiveness, previous suicide attempts, and history of suicide ideation, non-suicidal self-injurious behaviors and past psychiatric hospitalization), and family/social (family history of attempted suicide, family history of depression, low quality of life, poor family functioning, stressful life events, physical/sexual abuse, and social withdrawal). Youths with BD who experienced more complex symptomatic profiles were at greater risk of suicidality. Few protective factors associated with suicidality have been studied among youths with BD. One protective factor was found in this descriptive literature review: the positive effects of dialectical behavior therapy. This article allows a better appreciation of the risk and protective factors associated with suicidality among youth with BD. Greater awareness of risk factors is the first step in suicide prevention.
AB - Although children and adolescents with bipolar disorder (BD) are at elevated risk for suicide, little research to date has been conducted on suicidality in this population. The purpose of this descriptive review of the past 10 years of scientific literature on suicidality in youths with BD was to identify the risk and protective factors associated with this phenomenon, and to discuss the implications for research and clinical practice. Searches on Medline and PsycINFO databases for the period from early 2002 to mid-2012 yielded 16 relevant articles, which were subsequently explored using an analysis grid. Note that the authors employed a consensus analysis approach at all stages of the review. Four primary categories of risk factors for suicidality in youths with BD were identified: demographic (age and gender), clinical (depression, mixed state or mixed features specifier, mania, anxiety disorders, psychotic symptoms, and substance abuse), psychological (cyclothymic temperament, hopelessness, poor anger management, low self-esteem, external locus of control, impulsivity and aggressiveness, previous suicide attempts, and history of suicide ideation, non-suicidal self-injurious behaviors and past psychiatric hospitalization), and family/social (family history of attempted suicide, family history of depression, low quality of life, poor family functioning, stressful life events, physical/sexual abuse, and social withdrawal). Youths with BD who experienced more complex symptomatic profiles were at greater risk of suicidality. Few protective factors associated with suicidality have been studied among youths with BD. One protective factor was found in this descriptive literature review: the positive effects of dialectical behavior therapy. This article allows a better appreciation of the risk and protective factors associated with suicidality among youth with BD. Greater awareness of risk factors is the first step in suicide prevention.
KW - Bipolar
KW - Review
KW - Suicidality
KW - Youths
UR - https://www.scopus.com/pages/publications/84877134818
U2 - 10.1007/s00787-012-0328-z
DO - 10.1007/s00787-012-0328-z
M3 - Review article
AN - SCOPUS:84877134818
SN - 1018-8827
VL - 22
SP - 139
EP - 151
JO - European Child and Adolescent Psychiatry
JF - European Child and Adolescent Psychiatry
IS - 3
ER -