Priority 4 from the Bipolar PSP

UNCERTAINTY: What are the best ways to manage suicide risk among people with bipolar? (JLA PSP Priority 4)
Overall ranking 4
JLA question ID 0041/4
Explanatory note Not available for this PSP

Cipriani A, Hawton K, Stockton S, Geddes JR. Lithium in the prevention of suicide in mood disorders: updated systematic review and meta-analysis. BMJ. 2013b;346:f3646. DOI: [Comment: Fairly recent review]
Cipriani A, Hawton K, Stockton S, Geddes JR. Lithium in the prevention of suicide in mood disorders: Updated systematic review and meta-analysis. BMJ (Online). 2013c;347. [Comment: Fairly recent review]

Cipriani A, Pretty H, Hawton K, Geddes JR. Lithium in the prevention of suicidal behavior and all-cause mortality in patients with mood disorders: a systematic review of randomized trials. American Journal of Psychiatry. 2005;162:1805-19. [Comment: 11 years old]

Health Research Classification System category Mental Health
Extra information provided by this PSP
Original uncertainty examples For full examples, see Category ID T17 on spreadsheet.  The downs are bad. How do you convince someone to keep living with the thought of regular down periods? ~ Is research being done to lessen the symptoms of bipolar, in particular, suicidal thoughts? ~ What is the best way to manage suicide risk when experiencing bipolar depression, given that suicidal thoughts make sense at the time and you don't want to tell anyone for fear they may try and stop you? ~ Is there a place for a touch base service where people in depressive state and at risk of harm to self, can have an app /gadget/ phone number that checks in once a day/every few days. can be set up by user of service or health professionals?
Submitted by Patients x 13 ~ Carers x 5 ~ Health Professionals x 1 ~ Others x 1
PSP information
PSP unique ID 0041
PSP name Bipolar
Total number of uncertainties identified by this PSP. 363  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 14 June 2016