Suicide in prisoners with bipolar disorder and other psychiatric disorders: a systematic review.

OBJECTIVES: To examine the risk of suicide and suicide attempts in prisoners with bipolar disorder and other psychiatric disorders compared with prisoners without psychiatric disorders. METHODS: We conducted a systematic review and meta-analysis of observational studies comparing suicide outcomes in...

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Main Authors: Fazel, S, Wolf, A, Geddes, J
格式: Journal article
语言:English
出版: 2013
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author Fazel, S
Wolf, A
Geddes, J
author_facet Fazel, S
Wolf, A
Geddes, J
author_sort Fazel, S
collection OXFORD
description OBJECTIVES: To examine the risk of suicide and suicide attempts in prisoners with bipolar disorder and other psychiatric disorders compared with prisoners without psychiatric disorders. METHODS: We conducted a systematic review and meta-analysis of observational studies comparing suicide outcomes in prisoners with bipolar disorder and other psychiatric disorders to other prisoners. RESULTS: Five studies reported the risk of suicidal outcomes in prisoners with bipolar disorder compared with other prisoners, with a random effects pooled odds ratio of 2.4 (95% confidence interval: 1.6-3.7; I(2) = 0%). This appeared to be lower than the risk of suicidal outcomes for all psychiatric disorders and for depression, specifically, and, in meta-regression, significantly lower (p = 0.03) than for schizophrenia-spectrum disorders. CONCLUSIONS: Although bipolar disorder is associated with suicide and non-fatal suicidal behavior in prisoners, further research is necessary to confirm any associations and mediating mechanisms.
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spelling oxford-uuid:b592832c-8e20-421f-b81c-c8d2d2d533ca2022-03-27T04:34:25ZSuicide in prisoners with bipolar disorder and other psychiatric disorders: a systematic review.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b592832c-8e20-421f-b81c-c8d2d2d533caEnglishSymplectic Elements at Oxford2013Fazel, SWolf, AGeddes, JOBJECTIVES: To examine the risk of suicide and suicide attempts in prisoners with bipolar disorder and other psychiatric disorders compared with prisoners without psychiatric disorders. METHODS: We conducted a systematic review and meta-analysis of observational studies comparing suicide outcomes in prisoners with bipolar disorder and other psychiatric disorders to other prisoners. RESULTS: Five studies reported the risk of suicidal outcomes in prisoners with bipolar disorder compared with other prisoners, with a random effects pooled odds ratio of 2.4 (95% confidence interval: 1.6-3.7; I(2) = 0%). This appeared to be lower than the risk of suicidal outcomes for all psychiatric disorders and for depression, specifically, and, in meta-regression, significantly lower (p = 0.03) than for schizophrenia-spectrum disorders. CONCLUSIONS: Although bipolar disorder is associated with suicide and non-fatal suicidal behavior in prisoners, further research is necessary to confirm any associations and mediating mechanisms.
spellingShingle Fazel, S
Wolf, A
Geddes, J
Suicide in prisoners with bipolar disorder and other psychiatric disorders: a systematic review.
title Suicide in prisoners with bipolar disorder and other psychiatric disorders: a systematic review.
title_full Suicide in prisoners with bipolar disorder and other psychiatric disorders: a systematic review.
title_fullStr Suicide in prisoners with bipolar disorder and other psychiatric disorders: a systematic review.
title_full_unstemmed Suicide in prisoners with bipolar disorder and other psychiatric disorders: a systematic review.
title_short Suicide in prisoners with bipolar disorder and other psychiatric disorders: a systematic review.
title_sort suicide in prisoners with bipolar disorder and other psychiatric disorders a systematic review
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AT wolfa suicideinprisonerswithbipolardisorderandotherpsychiatricdisordersasystematicreview
AT geddesj suicideinprisonerswithbipolardisorderandotherpsychiatricdisordersasystematicreview