Evidence map›Paper›PMID 42179172›Full record

ReviewBJPsych open2026

Factors influencing delays in the diagnosis and treatment of bipolar disorder in adolescents and young adults: systematic scoping review.

Alexander Levit, Frederick Lam, John-Jose Nunez, Emma Morton, Kamyar Keramatian

Abstract readReview
In one paragraph

Review in BJPsych open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Alexander LevitDepartment of Psychiatry, https://ror.org/03rmrcq20The University of British Columbia, Vancouver, Canada.ORCID https://orcid.org/0000-0003-2921-4339
Frederick LamDepartment of Psychiatry, https://ror.org/03rmrcq20The University of British Columbia, Vancouver, Canada.
John-Jose NunezDepartment of Psychiatry, https://ror.org/03rmrcq20The University of British Columbia, Vancouver, Canada.
Emma MortonSchool of Psychological Sciences, Monash University, Clayton, Australia.
Kamyar KeramatianDepartment of Psychiatry, https://ror.org/03rmrcq20The University of British Columbia, Vancouver, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCare for bipolar spectrum disorders is often delayed, and these delays are associated with a poorer prognosis. However, little is known about the specific factors that contribute to these delays. Bipolar disorder onset peaks in adolescents and young adults, where barriers to care may be distinct from younger or older populations.

aimsTo identify the available evidence on factors contributing to delays in care for adolescents and young adults with bipolar disorder.

methodWe performed a pre-registered systematic search of the literature on delays in the care of 13- to 24-year olds diagnosed with bipolar disorder. Our search yielded

resultsFindings were limited to observational levels of evidence. There was a relative paucity of research in the appraisal and help-seeking intervals. Some factors in delays to care were consistently identified across multiple studies. However, there were also contradictions or a lack of replication around identified factors.

conclusionsResearch in this area has been declining in the past decade despite contradictory findings and ongoing significant delays in bipolar disorder care. Factors contributing to delays in bipolar disorder care can be effectively organised according to appraisal, help-seeking, diagnostic and pre-treatment intervals. This enables a systematic approach to identifying areas in need of quality improvement and further research.

Indexed as

Bipolar type I or II disorderschild and adolescent psychiatrydiagnostic medicinemental health servicessystematic review

Identifiers

PMID42179172
PMCPMC13202609

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.