Managing Bipolar Disorder From Urgent Situations to Maintenance Therapy

Rakesh Jain, MD, MPH; J. Sloan Manning, MD; Steven J Garlow, MD, PhD; Tracey G. Skale, MD; W. Clay Jackson, MD, DipTh; Noel C. Gardener, MD; Vladimir Maletic, MD

Prim Care Companion J Clin Psychiatry 2007;9(5):367-380

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Urgent is defined as “calling for immediate attention.”¹ Rakesh Jain, M.D., M.P.H., began the discussion by noting that patients with bipolar disorder often need immediate care from clinicians, because these patients are at high risk for urgent situations, such as suicidality, aggression, legal difficulties, functional disability, occupational disruption, and marital disharmony. Suicidality is one of the most urgent situations that can occur for patients with bipolar disorder; overall, they have a higher risk of suicide than the general population (standardized mortality ratio = 9.77, 95% CI = 4.22 to 19.24).²