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. 2017 Oct-Dec;21(4):621-632.
doi: 10.1080/13811118.2016.1199986. Epub 2016 Jun 16.

Increased Suicidal Ideation in Patients with Co-Occurring Bipolar Disorder and Post-Traumatic Stress Disorder

Julia M Carter, Timothy J Arentsen, Matthew J Cordova, Josef Ruzek, Robert Reiser, Trisha Suppes, Michael J Ostacher

Increased Suicidal Ideation in Patients with Co-Occurring Bipolar Disorder and Post-Traumatic Stress Disorder

Julia M Carter et al. Arch Suicide Res. 2017 Oct-Dec.

Abstract

Suicide risk increases for those with Bipolar Disorder or PTSD, however little research has focused on risk for co-occurring Bipolar Disorder and PTSD. The aim of this article was to evaluate increased suicide risk in co-occurring disorders, and differences in suicide risk for patients with Bipolar I versus Bipolar II. This study evaluated suicide risk in patients with co-occurring PTSD and Bipolar Disorder (n = 3,158), using the MADRS and Suicide Questionnaire. Those with history of PTSD had significantly higher suicidal ideation than those without (U = 1063375.00, p < .0001). Those with Bipolar I had higher risk than those with Bipolar II. Patients with Bipolar I and PTSD were at higher risk for suicidal ideation, implying the importance of diagnosis and risk assessment.

Keywords: PTSD; anxiety/anxiety disorders; bipolar disorder; co-occurring diagnosis; suicidal ideation; suicide risk.

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