Excess mortality in bipolar disorders.
Curr Psychiatry Rep
; 16(11): 499, 2014 Nov.
Article
em En
| MEDLINE
| ID: mdl-25194314
ABSTRACT
Bipolar disorder is associated with high mortality, and people with this disorder on average may die 10-20 years earlier than the general population. This excess and premature mortality continues to occur despite a large and expanding selection of treatment options dating back to lithium and now including anticonvulsants, antipsychotics, and evidence-based psychotherapies. This review summarizes recent findings on mortality in bipolar disorder, with an emphasis on the role of suicide (accounting for about 15% of deaths in this population) and cardiovascular disease (accounting for about 35-40% of deaths). Recent care models and treatments incorporating active outreach, integrated mental and physical health care, and an emphasis on patient self-management have shown promise in reducing excess mortality in this population.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Suicídio
/
Transtorno Bipolar
/
Doenças Cardiovasculares
Tipo de estudo:
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
Curr Psychiatry Rep
Assunto da revista:
PSIQUIATRIA
Ano de publicação:
2014
Tipo de documento:
Article