HIV/AIDS og risikoen for selvmordsatferd

Schlebusch, Lourens

doi:10.5617/suicidologi.1741

Cited by 2 publications

(1 citation statement)

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“…Others may become increasingly suicidal upon a deterioration of their medical condition during the advanced stages of the disease and the development of neurocognitive impairment or as a result of psychiatric complications [ 7 , 26 – 29 ]. Higher rates of suicidal ideation in HIV-positive individuals generally have been described whereas some studies have found that some asymptomatic HIV-infected persons had higher rates than persons with AIDS or reported suicidal ideation in patients within the first week of testing for HIV [ 6 , 9 , 25 , 30 – 32 ]. A study [ 24 ] of HIV-positive nonpsychiatric individuals found that two-thirds reported lifetime and one-third current suicidal ideation.…”

Section: Introductionmentioning

confidence: 99%

Elevated Risk of Suicidal Ideation in HIV-Positive Persons

Schlebusch

Govender

2015

Depression Research and Treatment

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Globally, suicide and HIV/AIDS remain two of the greatest healthcare issues, particularly in low- and middle-income countries. Several studies have observed a relationship between suicidal behaviour and HIV/AIDS. Materials and Methods. The main objective of this research was to determine the prevalence of elevated risk of suicidal ideation in HIV-positive persons immediately following voluntary HIV counselling and testing (VCT). The study sample consisted of adult volunteers attending the VCT clinic at a university-affiliated, general state hospital. Participants completed a sociodemographic questionnaire, Beck's Hopeless Scale, and Beck's Depression Inventory. Results. A significantly elevated risk of suicidal ideation was found in 83.1% of the patients who tested seropositive. Despite a wide age range in the cohort studied, the majority of patients with suicidal ideation were males in the younger age group (age < 30 years), consistent with the age-related spread of the disease and an increase in suicidal behaviour in younger people. Relevant associated variables are discussed. Conclusion. The results serve as important markers that could alert healthcare professionals to underlying suicide risks in HIV-positive patients. It is recommended that screening for elevated risk of suicidal ideation and prevention of suicidal behaviour should form a routine aspect of comprehensive patient care at VCT clinics.

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Section: Introductionmentioning

confidence: 99%

Elevated Risk of Suicidal Ideation in HIV-Positive Persons

Schlebusch

Govender

2015

Depression Research and Treatment

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HIV-infection as a self-reported risk factor for attempted suicide in South Africa

Schlebusch¹,

Vawda²

2010

Afr. J. Psych

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The aim of this study was to examine variables associated with recently diagnosed HIV-infection as a self-reported attempted suicide risk factor. Method: The study cohort consisted of 112 general hospital in-patients who attempted suicide because of HIV-infection. All the patients were subject to a comprehensive mental state examination and administration of a semi-structured questionnaire to obtain biographical, sociodemographic and other relevant information. Pearson uncorrected Chi-square (X 2 ) or Fisher's Exact Probability Test were used to analyze data utilising Epicalc 2000, version 1.02. Results: Most patients expressed a heterosexual preference. The average age was 34.9 years. Females predominated and in both genders depression and substance abuse (mainly alcohol-related) accounted for the most common psychiatric diagnoses. Less than half of the patients were married. Partner relational problems was a statistically significant variable. The most prevalent co-morbid stressors were poor social support, fear of disclosure/stigmatization and socio-economic pressures. Cognitive deficits included problems with cognitive flexibility, concentration and memory. Based on estimated national suicidal behaviour prevalence rates, a descriptive HIV-related attempted suicide rate of 67.2 per 100 000 and an increased risk for attempted suicide of 13.33% to 18.87% were calculated. Conclusion: HIVinfection can be an underestimated suicide risk factor. Effective management and prevention programmes should include as imperatives early diagnosis of HIV-related suicidal behaviour, recognition of underlying psychopathology, neurocognitive deficits, associated stressors, the dynamics of partner relationship problems, as well as cultural awareness and sensitivity. Potential neurocognitive complications that can act as additional risk factors require further research.

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HIV/AIDS og risikoen for selvmordsatferd

Cited by 2 publications

References 15 publications

Elevated Risk of Suicidal Ideation in HIV-Positive Persons

Elevated Risk of Suicidal Ideation in HIV-Positive Persons

HIV-infection as a self-reported risk factor for attempted suicide in South Africa

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