Watch Peter Hagelund’s documentary series, ‘Jeg savner min sygdom’ on living with bipolar disorder type 2 here.
Click here to read this story in Danish.
Four years ago, I was diagnosed with bipolar disorder type 2.
For my whole life I had known that something was different about me. I had always struggled with depression and anxiety, and what eventually turned out to be hypomania. When I was 22 I had my first big depression episode and had to start taking anti depressant medications. However, it would take me six more years before I was officially diagnosed with bipolar disorder type 2.
The tricky thing about having the diagnosis of bipolar type 2 is that you are not experiencing the typical manic episode where you are over-energetic and nearly psychotic. Instead, you’re hypomanic, which means that you’re socially well functioning. You’re not psychotic. You actually feel really good. So the problem is that you don’t end up going to your psychiatrist saying that you feel too good. At least I didn’t.
The reason why my psychiatrist found out I was bipolar was because he couldn’t get me out of my depressions. At first, my psychiatrist diagnosed me with depression and ADD. But these diagnoses didn’t fit. When I didn’t have the right diagnosis, I still had my large mood swings, and a lot of anxiety. When I was diagnosed with the ‘right’ diagnosis, of bipolar disorder type 2, it actually felt really nice. A lot of things made sense. Suddenly I could see why I had felt how I had for most of my life.
I really believe that Monsenso could have helped my psychiatrist diagnose my disorder earlier, because the app helps me to keep track of my mood and really helps me to become more aware of how I feel. Due to the app, every single day I have to pause and take a moment to think about how I’ve actually been doing before putting my answers in the app. After doing this, when I go to my psychiatrist we can together see how I’ve actually been. The good thing with the app is that my answer to how I’ve been is not only based on my memory but how I actually answered that day. Logging all of this information has helped my treatment. My psychiatrist and I can better plan how to avoid my future depressive or hypomanic episodes, because we can clearly identify when I am having mood swings.
In August, my documentary about being bipolar aired on national danish television. The reactions have been overwhelming. So many people have messaged me, thanking me for talking about the disease. I had originally made the documentary so that people would not be ashamed about having the disease. I think I have succeed.
My hope for the future is that people will be diagnosed earlier with the disease than me. Of course, that will take a lot of other factors, however I truly believe Monsenso is one of the things that can help. My hope is that other psychiatrists and patients alike will start using the app.
Using mHealth for suicide prevention is cost-effective and scalable. Every year, more than 800,000 people take their own lives and there are many more people who attempt suicide. Every suicide affects families and communities, leaving long-lasting effects on the people left behind. In 2012, suicide was the second leading cause of death among 15–29-year-olds globally. 
Suicide is a serious public health problem; however it can be prevented with timely, evidence-based and often low-cost interventions. 
There isn’t a single cause for suicide. Most often, it occurs when stressors exceed the current coping abilities of individuals suffering from a mental health condition. Conditions like depression, anxiety, and substance abuse increase the risk for suicide, especially when unaddressed. Yet it’s important to note that most people who actively manage their mental health conditions lead fulfilled lives. 
Most suicidal individuals give warning signs or signals of their intentions. The best way to prevent suicide is to recognize these warning signs and know how to respond. 
A study conducted in Denmark from 1981 to 1997 aimed to explore suicide risk according to time since admission, diagnosis, length of hospital treatment, and number of prior hospitalisations.
The study revealed that suicide risk peaks in periods immediately after admission and discharge. The risk is particularly high for patients with affective disorders and for those with short hospital treatment. These findings should lead to systematic evaluation of suicide risk among inpatients before discharge and corresponding outpatient treatment, and family support should be initiated immediately after the discharge. 
“There isn’t any time to lose,” says Thomas Lethenborg, CEO at Monsenso. “Suicide attempts are extremely high the week after patients are being discharged from the hospital. It’s very difficult for the patient and their families to know what to do, and this is where the Monsenso mHealth solution can make a huge difference,” Mr. Lethenborg added.
The Monsenso mHealth solution can help clinicians to remotely monitor patients who have been recently discharged from hospital. After being discharged, patients will be urged to download the Monsenso smartphone app where they will fill in daily self-assessments revealing their current state of mind.
With the information collected by the self-assessments, the smartphone app can reveal if a patient presents any warning signs of suicide and send a notification to the clinician. Every day, healthcare professionals can use the web portal to review the patients’ data, and contact the patients at risk who have been indicated by the system.
Additionally, the Monsenso mHealth solution can also allow family carers to monitor their loved one’s behaviour and intervene if necessary.
“The mental health system in Europe was poorly equipped to monitor recently-discharged suicide patients, until now,” said Mr. Lethenborg. “I am confident that the Monsenso mHealth solution can help the healthcare systems in Europe to reduce the number of suicides by empowering patients, family caregivers, and healthcare professionals to intervene before it is too late,” he added.
 World Health Organization Fact sheets
 American Foundation for suicide prevention
 Suicide Risk in Relation to Psychiatric Hospitalization. Evidence Based on Longitudinal Registers. Jama Psychiatry. Ping Qin, MD, PhD; Merete Nordentoft, MD, PhD. 2005