Individuals with bipolar disorder face increased risks of premature death, primarily due to both external factors such as accidents, violence, and suicide, and somatic causes tied to physical health issues exacerbated by alcohol use. Research published in BMJ Mental Health highlights that individuals with bipolar disorder are six times more likely to die prematurely from external causes and twice as likely from physical health complications. A comprehensive study in Finland tracked 47,018 individuals aged 15-64 with bipolar disorder over an eight-year period and revealed that 7% (3,300 individuals) died, with an average age at death of 50. External causes contributed to 39% of these deaths, primarily suicide, often linked to overdose on prescribed medications. Somatic causes accounted for 61% of deaths, with alcohol-related issues being the leading cause.
Researchers call for a reevaluation of treatment strategies, suggesting a need to focus more on preventing substance abuse and improving suicide awareness rather than solely targeting physical health issues. They emphasize the necessity of balancing treatment responses with potential long-term side effects of medication, particularly for younger patients, to effectively reduce the mortality gap associated with bipolar disorder.
