A comparative study of clinical correlates of bipolar mixed state with bipolar manic and bipolar depressed state in a general hospital psychiatry setting by Raman Krishnan, Sharma PSVN

“…Conclusion: The mixed affective state although has clinical correlates that differ from bipolar mania and depression, behaves as interforms of mania and depression.…”
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Clinical assessment and crisis intervention for the suicidal bipolar disorder patient. by Saunders, K, Hawton, K

“…RESULTS: Suicide is usually associated with a depressive phase, although mixed affective states also convey increased risk. All individuals with bipolar disorder should have an up-to-date crisis management plan which outlines the action to be taken should suicidal behaviour emerge. …”

Suicide and attempted suicide in bipolar disorder: a systematic review of risk factors. by Hawton, K, Sutton, L, Haw, C, Sinclair, J, Harriss, L

“…The main risk factors for nonfatal suicidal behavior included family history of suicide, early onset of bipolar disorder, extent of depressive symptoms, increasing severity of affective episodes, the presence of mixed affective states, rapid cycling, comorbid Axis I disorders, and abuse of alcohol or drugs. …”

Bipolar Disorder - New era of Treatments: High dose Levothyroxine, rTMS and genetics by A. Zamar, T. Koutsomitros, A. Lulsegged

“… Introduction Rapid cycling Bipolar disorder and mixed affective states are treatment resistant conditions. …”
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