Bipolar · Safety
Mixed Features Red-Line Plan
Highest-risk state, planned in advance
Mixed features — depression with activation, or hypomania with despair — carry the highest suicide risk in bipolar. Naming them matters.
What mixed features look like in me
Energy + hopelessness, agitation + emptiness, racing thoughts + dread, sleepless + despairing
My red-line plan
- Same-day contact with prescriber or crisis line
- Means restriction, immediately
- Not alone tonight
- No stimulants; caution with substances
- Sleep, by whatever means the prescriber sets
Who I called; what happened
Highest-risk state
Mixed features are the state where hopelessness meets the energy to act. Treat it as the emergency it is.