Factors associated with suicide ideation among medically and surgically hospitalized patients

Botega, Neury José; Azevedo, Renata Cruz Soares de; Mauro, Marisa Lúcia Fabrício; Mitsuushi, Gabriela Nero; Fanger, Priscila Caroline; Lima, Daniela Dantas; Gaspar, Karla Cristina; Silva, Viviane Franco da

doi:10.1016/j.genhosppsych.2010.02.004

Cited by 32 publications

(26 citation statements)

References 25 publications

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“…33 Mood disorder was considered the more prevalent psychiatric condition in HIV-positive patients and a challenge for liaison psychiatry consultation. 34 Suicide risk has also described in patients with chronic and oncologic diseases 13 and approximately 90% of individuals who commit suicide present a mental disorder. 12 On the other hand, Botega et al 12 detected low rates among hospitalized patients (4.9%), even those with infectious diseases (7.9%), but these authors did not include patients with mild suicide risk in their analysis.…”

Section: Discussionmentioning

confidence: 99%

“…12 Detection of these disorders is crucial, considering the 4.9% prevalence of suicide risk in hospitalized patients, which is even higher among those with infectious diseases (7.9%), malignancies (7.8%), and hematological disorders (7.2%). 13 Therefore, we believe that the comorbidity of mental disorders with infectious diseases such as HIV/AIDS, Chagas disease, and HTLV-1 infection needs to be appropriately investigated and managed so as to assist in the therapeutic effectiveness and prevention of complications (low adherence to the treatment, drug interactions, suicide risk, and psychoactive substance use). 1,3,5,14 The objective of this study was to evaluate the most frequent psychiatric comorbidities and factors associated with chronic outpatients referred to psychiatric treatment seen at a specialized infectious diseases institute.…”

Section: Introductionmentioning

confidence: 99%

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Suicide risk and alcohol and drug abuse in outpatients with HIV infection and Chagas disease

Guimarães

Passos

Calvet

et al. 2014

Rev. Bras. Psiquiatr.

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Objective: To evaluate psychiatric comorbidities in outpatients receiving care for HIV and Chagas disease at Instituto de Pesquisa Clínica Evandro Chagas (IPEC), Fundaçã o Oswaldo Cruz (Fiocruz), Rio de Janeiro, Brazil. Methods: Cross-sectional study with a consecutive sample of 125 patients referred to an outpatient psychiatric clinic from February to December 2010. The Mini International Neuropsychiatric Interview (MINI) was used. Factors associated with more frequent mental disorders were estimated by odds ratios (OR) with 95% confidence intervals (95%CI) by multiple logistic regression. Results: Seventy-six (60.8%) patients with HIV, 40 (32%) patients with Chagas disease, and nine (7.2%) patients with human T-lymphotropic virus were interviewed. The majority were women (64%), with up to 8 years of formal education (56%), and unemployed (81.6%). The median age was 49 years. Suicide risk (n=71) (56%), agoraphobia (n=65) (52%), major depressive episode (n=56) (44.8%), and alcohol/drug abuse (n=43) (34.4%) predominated, the latter being directly associated with lower family income (OR = 2.64; 95%CI 1.03-6.75) and HIV infection (OR = 5.24; 95%CI 1.56-17.61). Suicide risk was associated with non-white skin color (OR = 2.21; 95%CI 1.03-4.75), unemployment (OR = 2.72; 95%CI 1.01-7.34), and diagnosis of major depression (OR = 3.34; 95%CI 1.54-7.44). Conclusion: Measures targeting adverse socioeconomic conditions and psychiatric and psychological monitoring and care should be encouraged in this population, considering the association with abuse of alcohol/other psychoactive drugs and suicide risk.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Suicide risk and alcohol and drug abuse in outpatients with HIV infection and Chagas disease

Guimarães

Passos

Calvet

et al. 2014

Rev. Bras. Psiquiatr.

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“…Esse valor está de acordo com o relatado na literatura, quando são considerados pacientes com doenças físicas selecionados de diversas formas, tais como: dermatologia (8,6%) 25 , emergência geral (8,4%) 26 , ou ambulatório de esclerose múltipla (7,9%), por exemplo 17 . Uma taxa menor (4,9%) foi descrita por Botega et al em outro estudo brasileiro em que foram avaliados pacientes clínicos e cirúrgicos internados no hospital geral 5 . Contudo, quando nesta mesma pesquisa foram avaliados somente pacientes internados nos setores de doenças infecciosas, oncológicas ou hematológi-cas, as taxas foram muito semelhantes às nossas (7,9%, 7,8%, 7,2%, respectivamente).…”

Section: Discussionunclassified

“…E mais, a simples presença de uma doença física já é um fator de risco para o aparecimento de comportamento suicida mesmo na ausência de uma doença mental 2 . Apesar de a ideação suicida ser um marcador para sofrimento psíquico e do efeito devastador que o suicídio de um paciente hospitalizado exerce sobre membros da equipe de saúde e familiares, existem poucos estudos sobre ideação suicida no contexto de pacientes clínicos internados no hospital geral 5,6 . O suicídio é um importante problema de saúde pública, pois figura entre as dez causas mais frequentes de morte em todas as idades e é a terceira maior causa na faixa de 15 a 34 anos 7 .…”

Section: Introductionunclassified

“…Há pesquisas relacionando maiores taxas de comportamento suicida a doenças físicas específicas, como a doença pulmonar obstrutiva crônica 1 15,18 . Já em amostras de pacientes internados com várias doenças físicas no hospital geral, foram encontradas taxas de 4,9% a 7,3% 5,6 . A tabela 1 detalha os estudos que relataram a prevalência de ideação suicida em pacientes com doenças físicas.…”

Section: Introductionunclassified

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Ideação suicida em pacientes internados em enfermarias de clínica médica: prevalência e sintomas depressivos

Stefanello

Furlanetto

2012

J. bras. psiquiatr.

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rESUMo objetivo: Verificar a frequência de ideação suicida e os sintomas depressivos associados a ela nos pacientes internados em enfermarias de clínica médica. Métodos: Todos os adultos consecutivamente admitidos nas enfermarias de clínica médica de um hospital universitário foram randomizados e avaliados durante a primeira semana de internação. Coletaram-se dados sociodemográficos e aplicaram-se: o Patient Health Questionnaire (a pergunta sobre ideação suicida), o Inventário Beck de Depressão e o índice Charlson de comorbidade física. Utilizaram-se os testes t de Student, do qui-quadrado e a regressão logística. resultados: Dos 1.092 sujeitos, 79 (7,2%) apresentaram ideação suicida. Na aná-lise multivariada, foram capazes de discriminar esses pacientes, após controlar para sexo, idade, comorbidade física e presença de uma síndrome depressiva, os seguintes sintomas, quando presentes em intensidade moderada a grave: tristeza [RR: 3,18; IC 95% = 1,78-5,65; p < 0,001], sensação de fracasso [RR: 2,01; IC 95% = 1,09-3,72; p = 0,03], perda do interesse nas pessoas [RR: 2,69; IC 95% = 1,47-4,94; p = 0,001] e insônia [RR: 1,74; IC 95% = 1,05-2,89; p = 0,03]. Conclusão: Os pacientes internados no hospital geral em enfermarias clínicas apresentaram prevalência de 7,2% de ideação suicida. Alguns sintomas, quando presentes em intensidade moderada a grave, deveriam alertar ao clínico-geral para investigar a presença de ideação suicida: tristeza, sensação de fracasso, perda do interesse nas pessoas e insônia. aBStraCt objective: To assess the prevalence of suicidal ideation and the depressive symptoms associated to it in medical inpatients. Methods: All adults consecutively admitted to the medical wards of a University Hospital had their names recorded, were randomized and evaluated during the first week of admission. Socio-demographic data were collected and the Patient Health Questionnaire (question 9, assessing suicidal ideation), the Beck Depression Inventory and the Charlson comorbidity index were applied. The Student t test, chi-square

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Prevalence and Predictors of Suicidal Ideation in Patients Following Cardiac Surgery

Jarmoszewicz¹,

Topolski

Hajduk

et al. 2022

World j. surg.

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Background Patient-reported outcomes (PROs) which demand special attention and immediate help are referred to as PROs alert. Suicidal ideation (SI) is one of the PROs alerts which are insufficiently investigated. The aim was to assess the prevalence and risk factors for SI in patients following cardiac surgery. Methods A total of 190 patients (mean age: 66.09, SD = 10.19; 57 women) were assessed at three months following cardiac surgery. SI was identified using the Patient Health Qustionnaire-9 (PHQ-9) question. The Hospital Anxiety and Depression Scale-Modified was used to assess anxiety, depression, and irritability. Additionally, self-perceived health improvement and level of hope were assessed using the Likert scale. Dyspnea and chest pain were assessed using a visual analogue scale. Results SI was observed in 14.7% of participants. Patients experiencing SI had significantly higher levels of depression, anxiety, irritability, dyspnea and chest pain. They perceived the surgery to be less effective and had lower levels of hope. No significant relationships were found regarding age, sex, employment status, myocardial infarction, heart failure, operation mode, type of procedure, extracorporal circulation, hospital stay and postsurgical complications. Logistic regression revealed female sex (B = 2.363), higher anxiety level (B = 0.451) and older age (B = 0.062) to be risk factors for SI. The total variance explained by the model was 46%. Conclusions Assessing suicidality and negative emotions with special emphasis on anxiety simultaneously with somatic complaints is vital to address PROs alerts and improve care for patients following cardiac surgery. In-depth evaluation and psychological care are recommended in case of positive screening.

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Factors associated with suicide ideation among medically and surgically hospitalized patients

Cited by 32 publications

References 25 publications

Suicide risk and alcohol and drug abuse in outpatients with HIV infection and Chagas disease

Suicide risk and alcohol and drug abuse in outpatients with HIV infection and Chagas disease

Ideação suicida em pacientes internados em enfermarias de clínica médica: prevalência e sintomas depressivos

Prevalence and Predictors of Suicidal Ideation in Patients Following Cardiac Surgery

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