Suicide Risk
Heavy drinking, poor sleep, isolation and ruminative thinking are now maintaining and worsening her depression and raising her suicide risk.
What our notes say
- Heavy drinking, poor sleep, isolation and ruminative thinking are now maintaining and worsening her depression and raising her suicide risk. (Biopsychosocial Formulation)
- Depression is the dominant, most disabling pole in bipolar disorder, with a high suicide risk. (Bipolar and Related Disorders)
- The depressive burden, suicide risk and functional impairment are equal to or greater than bipolar I. (Bipolar and Related Disorders)
- Plan from the formulation: assess and manage suicide risk; antidepressant and/or CBT for the depression; reduce alcohol; treat insomnia; involve the friend and family; academic support (deferral, counselling); follow-up. (Biopsychosocial Formulation)
- Main indication: long-term prophylaxis of bipolar disorder and treatment of acute mania (it also reduces suicide risk). (Clinical Pharmacology I (MBPL 4400) main exam: 25 January 2023)