Predictors of suicidal ideation among acute stroke survivors
Aim: The risk of suicide in patients with stroke is high compared to the general population. To identify specific subgroups at higher risk of suicide in the early post-stroke period, we examined the relationship between the acute stroke-related clinical variables, patient demographics, depression, a...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Journal of Affective Disorders Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666915322001020 |
| _version_ | 1811315231731744768 |
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| author | Sudhakar Selvaraj Seema Aggarwal Constanza de Dios Juliana Mendonca De Figueiredo Anjail Z. Sharrief Jennifer Beauchamp Sean I. Savitz |
| author_facet | Sudhakar Selvaraj Seema Aggarwal Constanza de Dios Juliana Mendonca De Figueiredo Anjail Z. Sharrief Jennifer Beauchamp Sean I. Savitz |
| author_sort | Sudhakar Selvaraj |
| collection | DOAJ |
| description | Aim: The risk of suicide in patients with stroke is high compared to the general population. To identify specific subgroups at higher risk of suicide in the early post-stroke period, we examined the relationship between the acute stroke-related clinical variables, patient demographics, depression, and suicidal ideation (SI). Methods: We reviewed prospectively collected data from the comprehensive stroke center with patients who had an ischemic or hemorrhagic stroke and screened for depression with the Patient Health Questionnaire 9-Item (PHQ-9) at 90 days post-stroke outpatient follow-up. Question 9 of the PHQ-9 was screened for the presence of SI. Results: A total of 6.7% of patients reported SI. There were significant differences between groups among patients who reported SI as compared to those without SI with respect to ischemic stroke (p = 0.026), longer hospital stay (p = 0.009), and higher disability modified Rankin scale score at seven days post-stroke (p = 0.014). Limitations: We did not have access to the number of stroke survivors with SI who attempted suicide. Discussion: Our results show that screening based on PHQ-9 can identify the stroke survivors at risk for suicide and then enable additional risk assessment and stratify the patient to appropriate mental health support, thus reducing suicide, a preventable condition. |
| first_indexed | 2024-04-13T11:26:33Z |
| format | Article |
| id | doaj.art-7f7882b70257426f877c77d3338ce48d |
| institution | Directory Open Access Journal |
| issn | 2666-9153 |
| language | English |
| last_indexed | 2024-04-13T11:26:33Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Affective Disorders Reports |
| spelling | doaj.art-7f7882b70257426f877c77d3338ce48d2022-12-22T02:48:41ZengElsevierJournal of Affective Disorders Reports2666-91532022-12-0110100410Predictors of suicidal ideation among acute stroke survivorsSudhakar Selvaraj0Seema Aggarwal1Constanza de Dios2Juliana Mendonca De Figueiredo3Anjail Z. Sharrief4Jennifer Beauchamp5Sean I. Savitz6Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at Houston, 1941 East Rd, Houston, TX 77054; Institute for Stroke and Cerebrovascular Disease, University of Texas Health Science Center at Houston, Houston, TX, US; Corresponding author at: The University of Texas Health Science Center at Houston, 1941 East Road, Houston, Texas, United States.The University of Texas Health Science Center at Houston, Cizik School of Nursing, Houston, TX, US; Institute for Stroke and Cerebrovascular Disease, University of Texas Health Science Center at Houston, Houston, TX, USDepartment of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at Houston, 1941 East Rd, Houston, TX 77054Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at Houston, 1941 East Rd, Houston, TX 77054Institute for Stroke and Cerebrovascular Disease, University of Texas Health Science Center at Houston, Houston, TX, US; Department of Neurology, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, TX, USThe University of Texas Health Science Center at Houston, Cizik School of Nursing, Houston, TX, US; Institute for Stroke and Cerebrovascular Disease, University of Texas Health Science Center at Houston, Houston, TX, USInstitute for Stroke and Cerebrovascular Disease, University of Texas Health Science Center at Houston, Houston, TX, US; Department of Neurology, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, TX, USAim: The risk of suicide in patients with stroke is high compared to the general population. To identify specific subgroups at higher risk of suicide in the early post-stroke period, we examined the relationship between the acute stroke-related clinical variables, patient demographics, depression, and suicidal ideation (SI). Methods: We reviewed prospectively collected data from the comprehensive stroke center with patients who had an ischemic or hemorrhagic stroke and screened for depression with the Patient Health Questionnaire 9-Item (PHQ-9) at 90 days post-stroke outpatient follow-up. Question 9 of the PHQ-9 was screened for the presence of SI. Results: A total of 6.7% of patients reported SI. There were significant differences between groups among patients who reported SI as compared to those without SI with respect to ischemic stroke (p = 0.026), longer hospital stay (p = 0.009), and higher disability modified Rankin scale score at seven days post-stroke (p = 0.014). Limitations: We did not have access to the number of stroke survivors with SI who attempted suicide. Discussion: Our results show that screening based on PHQ-9 can identify the stroke survivors at risk for suicide and then enable additional risk assessment and stratify the patient to appropriate mental health support, thus reducing suicide, a preventable condition.http://www.sciencedirect.com/science/article/pii/S2666915322001020 |
| spellingShingle | Sudhakar Selvaraj Seema Aggarwal Constanza de Dios Juliana Mendonca De Figueiredo Anjail Z. Sharrief Jennifer Beauchamp Sean I. Savitz Predictors of suicidal ideation among acute stroke survivors Journal of Affective Disorders Reports |
| title | Predictors of suicidal ideation among acute stroke survivors |
| title_full | Predictors of suicidal ideation among acute stroke survivors |
| title_fullStr | Predictors of suicidal ideation among acute stroke survivors |
| title_full_unstemmed | Predictors of suicidal ideation among acute stroke survivors |
| title_short | Predictors of suicidal ideation among acute stroke survivors |
| title_sort | predictors of suicidal ideation among acute stroke survivors |
| url | http://www.sciencedirect.com/science/article/pii/S2666915322001020 |
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