Title: Self Harm / DSH Episodes in BPAD – Study in a Rural Setup
Authors: Dr Moushumi Purkayastha Mukherjee, Dr Ena Sharma, Mr Tilak Bhandari
DOI: https://dx.doi.org/10.18535/jmscr/v6i6.124
Abstract
Patients with Bipolar disorder have high rates of medical, psychiatric and substance abuse disorders which contribute to self harm, reduced life expectancy and decreased quality of life. Lithium effective treatment was an effective treatment for reducing the risk of suicide in people with mood disorders. Also important is the duration of disorder and number of episodes and associated self harm episodes.
Background: Bipolar disorder comprises of manic, hypomanic and depressive episodes. Bipolar disorder is the 6th leading cause of medical disability worldwide among people 15-44 years of age. Bipolar disorder has been deemed the most expensive behavioural health care diagnosis costing more than twice as much as depression per affected individual. Total costs largely arise from indirect costs and are attributable to lost productivity, in turn arising from absenteeism. Apart from lithium a recent study showed that Interpersonal and Social Rhythm Therapy (IPSRT) delayed Bipolar affective disorder recurrence in adults by stabilizing daily routines and sleep/wake cycles.
Keywords: Bipolar disorder, self harm.
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