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3, unemployment (p=0.02, OR 2.65 (C.I 1.23-5.88) and suicidal ideation (p=0.04, OR 3.36, (C.I 1.04-10.89). The MDQ is less sensitive than some of the longer measures, especially in the general population. Some between-group comparisons may have suffered from limited power. The lifetime prevalence of BD in England was similar to rates worldwide. Most people with BD had not received any specific treatment for the condition in the last year, while 1 in 7 had requested specific help but did not receive it. Secondary mental health services

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