Hafeman, D. M., Rooks, B., Merranko, J., Liao, F., Gill, M. K., Goldstein, T. R., … & Strober, M. (2020). Lithium Versus Other Mood-Stabilizing Medications in a Longitudinal Study of Youth Diagnosed With Bipolar Disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 59(10), 1146-1155.

Despite concerns about the adverse effects in young females, this adolescent study found that Lithium was associated with less depression, less suicidality and better psychosocial functioning than other mood stablising medication, suggesting that it might play a valuable role in supporting recovery.

https://www.jaacap.org/article/S0890-8567(19)31399-1/fulltext?dgcid=raven_jbs_etoc_email