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Patients with BD-I, PTSD at High Risk for Suicide
Compr Psychiatry; ePub 2016 Aug 18; Reddy, et al
Patients with bipolar I disorder (BD-I) and comorbid posttraumatic stress disorder (PTSD) appear to be a high risk population with need for enhanced monitoring of suicidality, a recent study found. Researchers conducted a retrospective cohort chart review of 230 psychiatric inpatients with BD-I. They found:
- Patients with BD-I and comorbid PTSD were more likely to be female, to be depressed (vs manic), to have a comorbid personality disorder, and to have a history of suicide attempt.
- BD-I patients with PTSD were significantly less likely to present for their inpatient hospital stay with psychosis.
- These effects remained significant after controlling for mood episode polarity, suggesting that findings were not fully explained by the higher incidence of depression in the comorbid PTSD group.
Citation:
Reddy MK, Meyer TD, Wittlin NM, Miller IW, Weinstock LM. Bipolar I disorder with comorbid posttraumatic stress disorder: Demographic and clinical correlates in a sample of hospital patients. [Published online ahead of print August 18, 2016]. Compr Psychiatry. doi:10.1016/j.comppsych.2016.08.007.