Skip to Main Content

Chapter 39. Bipolar Disorder

Student Questions

Factors that increase risk of suicide in individuals with bipolar disorder include which of the following?

A. A high number of depressive episodes

B. Late age of onset

C. Low educational status

D. Negative family history of bipolar disorder

Answer: A

Option A: Correct. Patients with bipolar disorder have high risk of suicide. Factors that increase risk are early age at onset, high number and severity of depressive episodes, comorbid alcohol use disorder, comorbid personality disorder, history of antidepressant-induced mania, history of previous suicide attempt, and family history of suicidal behavior.

Option B: Incorrect. Early age of onset is a risk factor, not late age.

Option C: Incorrect. Educational status does not change risk of suicide.

Option D: Incorrect. Family history of suicidal behavior is a risk factor for suicide in bipolar disorder. Negative family history of bipolar disorder doesn't change the suicide risk.

Epidemiologic studies show patients with bipolar I disorder spend:

A. More time manic than depressed

B. More time depressed than manic

C. The same amount of time manic and depressed

D. More time acutely ill than stable

Answer: B

Option A: Incorrect. Patients spend more time depressed than manic.

Option B: Correct. Studies show patients with bipolar I spend about 32% of weeks with depressive symptoms compared with 9% of weeks with manic or hypomanic symptoms. Patients with bipolar II disorder spend 50% of weeks symptomatic for depression and only 1% with hypomania.

Option C: Incorrect. Patients spend more time depressed than manic.

Option D: Incorrect. Studies show patients spend ~41% of weeks with depressive, manic, or hypomanic symptoms, which is not a majority of the time.

Which of the following is another psychiatric illness that can include a history of manic episodes?

A. Major depressive disorder

B. Panic disorder

C. Schizoaffective disorder

D. Schizophrenia

Answer: C

Option A: Incorrect. Major depressive disorder is not associated with mania. If someone has a history of MDD and has a "true" manic episode, the diagnosis changes to bipolar I disorder.

Option ...

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.