Current opinion in psychiatry · 2026
Harmful behaviours and suicide in later life bipolar disorder.
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Rodrigues Juliano Flávio Rubatino, Rodrigues Lívia Peregrino, de Araújo Filho Gerardo Maria
Аннотация
PURPOSE OF REVIEW: Harmful behaviours and suicidality are often linked to mental disorders, making it crucial to gain a deeper understanding of these issues. One significant area of focus is bipolar disorder in older adults, a condition that requires further exploration to better address its impact on this age group.
RECENT FINDINGS: Longer hospital stays increased harmful behaviour among older adults with bipolar disorder. Older adults with bipolar disorder have lower suicide rates than younger individuals, possibly due to heightened risks shortly after diagnosis, so, it makes it important to pay attention to cases of late-onset bipolar disorder. Early-onset bipolar disorder is often genetically influenced, while late-onset bipolar disorder was more affected by environmental factors, with cognitive impairments leading to poorer functioning. The early years following a diagnosis of dementia associated with bipolar disorder show a higher risk of suicide.
SUMMARY: Individuals experiencing manic episodes of bipolar disorder often display a heightened propensity for harmful behaviours. In contrast, during depressive episodes, these individuals are at an increased risk of contemplating or attempting suicide. Research highlights that the threat of suicide is particularly pronounced in the initial years after a bipolar disorder diagnosis, underscoring the critical need for vigilant monitoring during this vulnerable period. This concern is especially significant for cases of late-onset bipolar disorder in older adults, where the unique complexities of age may compound the challenges and risks associated with the condition.
RECENT FINDINGS: Longer hospital stays increased harmful behaviour among older adults with bipolar disorder. Older adults with bipolar disorder have lower suicide rates than younger individuals, possibly due to heightened risks shortly after diagnosis, so, it makes it important to pay attention to cases of late-onset bipolar disorder. Early-onset bipolar disorder is often genetically influenced, while late-onset bipolar disorder was more affected by environmental factors, with cognitive impairments leading to poorer functioning. The early years following a diagnosis of dementia associated with bipolar disorder show a higher risk of suicide.
SUMMARY: Individuals experiencing manic episodes of bipolar disorder often display a heightened propensity for harmful behaviours. In contrast, during depressive episodes, these individuals are at an increased risk of contemplating or attempting suicide. Research highlights that the threat of suicide is particularly pronounced in the initial years after a bipolar disorder diagnosis, underscoring the critical need for vigilant monitoring during this vulnerable period. This concern is especially significant for cases of late-onset bipolar disorder in older adults, where the unique complexities of age may compound the challenges and risks associated with the condition.