The plan has to aim high. Otherwise, patients will relapse into depression. A large part of this plan involves the patient being very aware of warning signs and stress triggers so that they take an active role in their recovery and prevention of relapse. Mortality
Several studies have shown that the risk of suicide is higher in patients who have BP-II than those with BP-I, and especially higher than patients with major depressive disorder.In results of a summary of several lifetime study experiments, it was found that 24% of BP-II patients experienced suicidal ideation or suicide attempts compared to 17% in BP-I patients and 12% in major depressive patients. Bipolar disorders, in general, are the third leading cause of death in 15- to 24-year-olds. BP-II patients were also found to employ more lethal means and have more complete suicides overall.BP-II patients have several risk factors that increase their risk of suicide. The illness is very recurrent and results in severe disabilities, interpersonal relationship problems, barriers to academic, financial, and vocational goals, and a loss of social standing in their community, all of which increase the likelihood of suicide. Mixed symptoms and rapid-cycling, both very common in BP-II, are also associated with an increased risk of suicide.
The rationale behind the latter revision is that some individuals with BP-II manifest only visible changes in energy. Without presenting elevated mood, these individuals are commonly misdiagnosed with major depressive disorder. Consequently, they receive prescriptions for antidepressants, which unaccompanied by mood stabilizers, may induce rapid cycling or mixed states. Society and culture
Heath Black revealed in his autobiography, Black, that he has been diagnosed with BP-II. Maria Bamford has been diagnosed with BP-II. Geoff Bullock, singer-songwriter, was diagnosed with BP-II. Mariah Carey was diagnosed with BP-II in 2001. In 2018, publicly revealed and actively seeking treatment in the form of therapy and medication. Charmaine Dragun, former Australian journalist/newsreader. Inquest concluded she had BP-II. Joe Gilgun has been diagnosed with BP-II. Shane Hmiel has been diagnosed with BP-II. Jesse Jackson Jr. has been diagnosed with BP-II. Thomas Eagleton received a diagnosis of BP-II from Dr. Frederick K. Goodwin. Carrie Fisher had been diagnosed with BP-II. Demi Lovato has been diagnosed with BP-II. Evan Perry, subject of the documentary Boy Interrupted, was diagnosed with BP-II. Richard Rossi, filmmaker, musician, and maverick minister was diagnosed with BP-II. Rumer has been diagnosed with BP-II. Catherine Zeta-Jones received treatment for BP-II after dealing with the stress of her husbands throat cancer. According to her publicist, Zeta-Jones made a decision to check into a mental health facility for a brief stay. See also


== References ==