The Real Risk for Suicide in Mental Disorders

Steven Dubovsky, MD

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Although suicide risk is clearly elevated in people with psychiatric disorders, their suicide rates are lower in this comprehensive study than in other studies. The authors state that not accounting for emigration and death from other causes would have increased their estimates of risk by 10%. This study's most important clinical implications: Suicide risk increases sharply soon after diagnosis, and comorbidity and history of self-harm, especially in men with bipolar disorder, greatly increase suicide risk. Such individuals should be monitored closely for suicidality.

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