Details

Autor(en) / Beteiligte

• Ösby, U
• Jonas, E
• Hällgren, J
• Pompili, M

Titel

Economic impact of suicidality in manic patients with depressive features

Ist Teil von

• EUROPEAN PSYCHIATRY, 2016-03, Vol.33 (S1), p.S603-S603

Ort / Verlag

Elsevier Masson SAS

Erscheinungsjahr

2016

Beschreibungen/Notizen

• Introduction There is limited information published on the specific financial costs of completed and/or attempted suicide in bipolar patients. In the last 15 years, only 6 studies were published. Their results vary considerably due to differences in methods used. Also, information on cost for pure manic versus mixed episodes is lacking. This is surprising, since studies have shown that suicidal behaviour is more common among patients with depressive symptoms than with pure mania, and this difference increases considerably when the mixed-features specifier is applied. Objectives We conducted a registry study with the aim to expand the epidemiological information on suicidal behaviour by episode type in bipolar disorder, and its associated costs. Methods Health data were retrieved from the Swedish Patient Register. Data covered the period 1990–2014 and included the number of discharged patients with bipolar diagnosis, hospital re-admissions, and attempted and/or completed suicides. Moreover, we retrieved data on suicide and cause of death from the Swedish Cause of Death register. Analyses were done for the whole sample and stratified by subtypes (mania, depression and mixed forms). Results First results will be presented at the EPA meeting. Conclusions This is a nation-wide Swedish study of completed and attempted suicide in bipolar patients. The hypothesis we will test is that there is a substantial variation between different bipolar disorder subtypes, and that most of the expenditures due to suicidal behaviour in bipolar disorder are linked to mixed forms, mania in combination with depression.