2.101 Risk-Sensitive Decision Making and Self-Harm Among Youth With Bipolar Disorder

Abstract

Youth with bipolar disorder are at high risk for suicide and have high rates of self-harm. Self-harm, defined as a history of suicide attempt and/or nonsuicidal self-injury, is one of the biggest risk factors for suicide, yet the mechanisms underlying the risk for self-harm and progression to suicide remain poorly understood. Neurocognitive impairment is well-established in youth with bipolar disorder. A prior study found that youth with MDD and a history of self-harm have altered risk-taking and decision-making performance compared to those without a history of self-harm.