scholarly journals Predicting onset of bipolar disorder from subsyndromal symptoms: a signal question?

2010 ◽  
Vol 196 (2) ◽  
pp. 87-88 ◽  
Author(s):  
Gordon Parker

SummaryThis issue reports a community-based study quantifying the extent to which subthreshold hypomanic or depressive symptoms in childhood or adolescence predicted subsequent formal bipolar disorder status and mental health service attendance. This editorial emphasises the low predictive power of the signal and considers early intervention implications.

2004 ◽  
Vol 13 (1) ◽  
pp. 10-23 ◽  
Author(s):  
Mirella Ruggeri ◽  
Giulia Bisoffi ◽  
Antonio Lasalvia ◽  
Francesco Amaddeo ◽  
Chiara Bonetto ◽  
...  

BJPsych Open ◽  
2020 ◽  
Vol 6 (6) ◽  
Author(s):  
Ruth Cunningham ◽  
Marie Crowe ◽  
James Stanley ◽  
Tracy Haitana ◽  
Suzanne Pitama ◽  
...  

Background Despite evidence of gender differences in bipolar disorder characteristics and comorbidity, there is little research on the differences in treatment and service use between men and women with bipolar disorder. Aims To use routine data to describe specialist mental health service contact for bipolar disorder, including in-patient, community and support service contacts; to compare clinical characteristics and mental health service use between men and women in contact with secondary services for bipolar disorder. Method Cross-sectional analysis of mental health patients with bipolar disorder in New Zealand, based on complete national routine health data. Results A total of 3639 individuals were in contact with specialist mental health services with a current diagnosis of bipolar disorder in 2015. Of these 58% were women and 46% were aged 45 and over. The 1-year prevalence rate of bipolar disorder leading to contact with specialist mental health services was 1.56 (95% CI 1.50–1.63) per 100 000 women and 1.20 (95% CI 1.14–1.26) per 100 000 men. Rates of bipolar disorder leading to service contact were 30% higher in women than men (rate ratio 1.30, 95% CI 1.22–1.39). The majority (68%) had a diagnosis of bipolar I disorder. Women were more likely to receive only out-patient treatment and have comorbid anxiety whereas more men had substance use disorder, were convicted for crimes when unwell, received compulsory treatment orders and received in-patient treatment. Conclusions Although the prevalence of bipolar disorder is equal between men and women in the population, women were more likely to have contact with specialist services for bipolar disorder but had a lower intensity of service interaction.


2008 ◽  
Vol 29 (4) ◽  
pp. 351-370 ◽  
Author(s):  
Mona M. Shattell ◽  
Desmina Hamilton ◽  
Sharon S. Starr ◽  
Courtney J. Jenkins ◽  
Norma Angelica Hinderliter

2017 ◽  
Vol 26 (2) ◽  
pp. 119-128 ◽  
Author(s):  
Melissa W. George ◽  
Imad Zaheer ◽  
Lee Kern ◽  
Steven W. Evans

Mental health service utilization research is needed for students who are likely to receive school mental health services, yet little research exists for adolescents experiencing emotional/behavioral problems and school impairment. This study addressed this gap using secondary data analyses conducted on baseline data from a large trial testing school-based interventions for high school students ( n = 647) experiencing emotional/behavioral problems and school impairment. Analyses examined the number and type (community-based or school-based psychosocial, inpatient, pharmacological treatment) of services used, and sociodemographics associated with services. Sixty-nine percent had received at least one service for their emotional/behavioral problems prior to the study, with nearly half of those having only received a single service. Community-based psychosocial and pharmacological treatments were most common. White adolescents and those in special education were more likely to have received services, particularly community-based and pharmacological treatment. On average, adolescents had not received any services until early adolescence. Findings add to increasing literature on the current status of service use among adolescents with emotional/behavioral problems and the potential for schools to increase access for those in need.


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