Rihmer Z, Pestality P
National Institute for Psychiatry and Neurology, Budapest.
Psychiatr Clin North Am. 1999 Sep;22(3):667-73, ix-x. doi: 10.1016/s0193-953x(05)70101-5.
Despite the fact that the nosologic position of bipolar II disorder continues to be debated, several lines of research indicate that it is a distinct nosologic category that should be separated from both bipolar I and unipolar major depression. This review of the authors' and others' work demonstrates that the lifetime risk of suicide attempts is highest in bipolar II and lowest in unipolar patients, whereas risk is intermediate in bipolar I patients. Moreover, two reports show that bipolar II patients are over represented among suicide victims. Clinicians must take great care in not missing this diagnosis, which, when untreated, has ominous prognostic implications.
尽管双相II型障碍的疾病分类地位仍存在争议，但多项研究表明，它是一个独特的疾病分类类别，应与双相I型障碍和单相重度抑郁症区分开来。对作者及其他人研究工作的综述表明，自杀未遂的终生风险在双相II型障碍患者中最高，在单相患者中最低，而在双相I型障碍患者中风险处于中间水平。此外，两份报告显示，自杀受害者中双相II型障碍患者的比例过高。临床医生必须格外小心，以免漏诊，因为未经治疗的该疾病具有不良的预后影响。
