Prevalence and risk factors of suicidal ideation in adult inpatients with five different types of mental disorders

Zhu, Huiping; Yao, Jiangyue; Fan, Hua; Wang, Qian; Wang, Xiangran; Gao, Qi

doi:10.1016/j.jad.2021.05.033

Cited by 11 publications

(12 citation statements)

References 36 publications

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“…Depression characteristics associated with suicidality included depression type (Brent et al, 1993;Kessler and Walters, 1998;Lewinsohn et al, 2001;Nrugham et al, 2008;Smith et al, 2005;Spalletta et al, 1996;Wunderlich et al, 1998;Yule et al, 2018), depression severity (Gabbay et al, 2009;Hong et al, 2021;Moller et al, 2021;Tuisku et al, 2006Tuisku et al, , 2012Tuisku et al, , 2014, depression frequency (Fergusson et al, 2007;Seo et al, 2015) and psychomotor features associated with depression (Leventhal et al, 2008). Unipolar depression emerged as having the most evidence for an association with suicidality; seven studies (Brent et al, 1993;Kessler and Walters, 1998;Lewinsohn et al, 2001;Nrugham et al, 2008;Spalletta et al, 1996;Yule et al, 2018;Zhu et al, 2021) reported that unipolar depression was more strongly associated with suicidality compared to bipolar depressive disorders or dysthymia. Conversely, only one study (Smith et al, 2005) reported that bipolar depression was the depression type most strongly associated with suicidality.…”

Section: Results Of Individual Studiesmentioning

confidence: 99%

“…Three studies (4%) (Fan et al, 2019; Johnston et al, 2017; Lippard et al, 2019) did not provide details of the study setting; these were all neuroimaging studies. Of the studies conducted in clinical settings, 17 exclusively involved outpatient settings (Csorba et al, 2010a, 2010b; Fonseka et al, 2015; Gårdvik et al, 2021; Gulec et al, 2010; Janiri et al, 2021; Kutcher et al, 1990; MacPherson et al, 2021; Moller et al, 2021; Rudd et al, 1993; Smith et al, 2005; Spalletta et al, 1996; Tuisku et al, 2006, 2012, 2014; Urrila et al, 2014; Yule et al, 2018), 13 exclusively involved inpatient settings (Barrash et al, 1993; Beautrais et al, 1998; Deykin and Buka, 1994; Gabbay et al, 2009; Gmitrowicz and Kołodziej-Meciejewska, 2002; Hong et al, 2021; Méan et al, 2005; Patten et al, 2003; Righini et al, 2005; Salazar de Pablo et al, 2020; Sher et al, 2007; Shoval et al, 2006; Zhu et al, 2021) and 7 involved both outpatient and inpatient settings (Beglyankin et al, 2019; Gibbons, 2007; Joiner et al, 2009; Koeda et al, 2012; Rudd et al, 1996; Seo et al, 2015; Zhang et al, 2016) (one of the latter also included community participants). Studies conducted in community settings were defined as those which were not explicitly inpatient or outpatient settings, and those that did not explicitly target participants who were receiving either outpatient or inpatient medical or mental health treatment.…”

Section: Resultsmentioning

confidence: 99%

“…Australian & New Zealand Journal of Psychiatry, 56 (8) not provide details of the study setting; these were all neuroimaging studies. Of the studies conducted in clinical settings, 17 exclusively involved outpatient settings (Csorba et al, 2010a(Csorba et al, , 2010bFonseka et al, 2015;Gårdvik et al, 2021;Gulec et al, 2010;Janiri et al, 2021;Kutcher et al, 1990;MacPherson et al, 2021;Moller et al, 2021;Rudd et al, 1993;Smith et al, 2005;Spalletta et al, 1996;Tuisku et al, 2006Tuisku et al, , 2012Tuisku et al, , 2014Urrila et al, 2014;Yule et al, 2018), 13 exclusively involved inpatient settings (Barrash et al, 1993;Beautrais et al, 1998;Deykin and Buka, 1994;Gabbay et al, 2009;Gmitrowicz and Kołodziej-Meciejewska, 2002;Hong et al, 2021;Méan et al, 2005;Patten et al, 2003;Righini et al, 2005;Salazar de Pablo et al, 2020;Sher et al, 2007;Shoval et al, 2006;Zhu et al, 2021) and 7 involved both outpatient and inpatient settings (Beglyankin et al, 2019;Gibbons, 2007;Joiner et al, 2009;Koeda et al, 2012;Rudd et al, 1996;Seo et al, 2015;…”

Section: Didmentioning

confidence: 99%

“…Nearly all included studies (85%; n = 60) used versions of the DSM as their chosen diagnostic classification standard. Only eight studies (11%) used versions of the ICD (Beglyankin et al, 2019;Gibbons, 2007;Houston et al, 2001;Koeda et al, 2012;Phillips et al, 2017;Shelef et al, 2015Shelef et al, , 2018Zhu et al, 2021). Two studies (Csorba et al, 2010a(Csorba et al, , 2010b did not specify the diagnostic framework they employed but used the Mini International Neuropsychiatric Interview (MINI Plus) as a diagnostic tool, so could have adopted either DSM or ICD diagnostic criteria.…”

Section: Includedmentioning

confidence: 99%

“…Most studies (80%; n = 57) used standardised diagnostic tools to assess and diagnose depression. Fourteen studies (20%) derived diagnoses through standard clinical practice but did not provide details on specific diagnostic tools employed (Barrash et al, 1993;Beglyankin et al, 2019;Gibbons, 2007;Gmitrowicz and Kołodziej-Meciejewska, 2002;Houston et al, 2001;Koeda et al, 2012;Marttunen et al, 1991;Patten et al, 2003;Phillips et al, 2017;Rich et al, 1990;Shelef et al, 2015Shelef et al, , 2018Yule et al, 2018;Zhu et al, 2021); these were predominantly studies of patients hospitalised due to psychiatric illness, or military personnel undergoing standardised health screening. Of the standardised diagnostic tools employed, versions of the Schedule for Affective Disorders and Schizophrenia (SADS and K-SADS) were the most popular, being used in 25 studies (35%).…”

Section: Includedmentioning

confidence: 99%

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Correlates of suicidality in young people with depressive disorders: A systematic review

Moller

Davey

Badcock

et al. 2022

Aust N Z J Psychiatry

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Objective: Depression is one of the most prevalent and disabling mental health conditions among young people worldwide. The health and economic burdens associated with depressive illness are substantial. Suicide and depression are closely intertwined, yet a diagnosis of depression itself lacks predictive specificity for suicidal behaviour. To better inform suicide prevention and early intervention strategies for young people, improved identification of modifiable intervention targets is needed. The objective of this review was to identify clinical, psychosocial and biological correlates of suicidality in young people diagnosed with a broad range of unipolar and bipolar depressive disorders. Method: Systematic searches were conducted across MEDLINE, Embase and PsycINFO to identify studies of young people aged 15–25 years diagnosed with unipolar or bipolar depressive disorders. An assessment of suicidality was required for inclusion. Reporting followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 and Synthesis Without Meta-analysis guidelines. Results: We integrated findings from 71 studies including approximately 24,670 young people with clinically diagnosed depression. We identified 26 clinical, psychosocial and biological correlates of suicidality. Depression characteristics (type and severity), psychiatric comorbidity (particularly anxiety and substance use disorders) and neurological characteristics emerged as having the most evidence for being associated with suicidal outcomes. Our ability to pool data and conduct meaningful quantitative synthesis was hampered by substantial heterogeneity across studies and incomplete reporting; thus, meta-analysis was not possible. Conclusion: Findings of this review reinforce the notion that suicidality is a complex phenomenon arising from the interplay of multiple contributing factors. Our findings question the utility of considering a diagnosis of depression as a specific risk factor for suicidality in young people. Suicidality itself is transdiagnostic; adoption of a transdiagnostic approach to investigating its aetiology and treatment is perhaps warranted. Future research investigating specific symptoms, or symptom networks, might help to further our understanding of suicidality among young people experiencing mental illness.

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Section: Results Of Individual Studiesmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Didmentioning

confidence: 99%

Section: Includedmentioning

confidence: 99%

Section: Includedmentioning

confidence: 99%

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Correlates of suicidality in young people with depressive disorders: A systematic review

Moller

Davey

Badcock

et al. 2022

Aust N Z J Psychiatry

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Suicidal ideation and attempts in adults seeking outpatient psychodynamic psychotherapy

Schnittger

Sievers

Scholz

et al. 2022

Clin Psychology and Psychoth

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Suicide is an important cause of death in patients with mental health disorders, but little is known about the occurrence of suicidal ideation and attempts in outpatient psychotherapy patients. The aim of this study was to identify the proportion of patients with and correlates of suicidal ideation and attempts in community‐based psychotherapy practices. Using 983 applications for reimbursement of psychotherapy from individual patients, reports about suicidal thoughts and suicide attempts were extracted along with demographic, biographic and clinical data. Multivariate logistic regression analysis was used to identify correlates of suicidal ideation and attempts by calculating odds ratios (ORs). Among the patients, 19% presented with suicidal thoughts (11% currently and 8% in the past) and 6% with suicide attempts. Important correlates of suicidal thoughts were male gender (OR 1.7), lower education (OR 1.8), early retirement (OR 2.9), death of a parent when younger than 5 years old (OR 3.3), violence experienced from various people (OR 2.1), self‐harm behaviour (OR 7.9) and alcohol misuse (OR 1.7). Suicide attempts were associated with male gender (OR 5.6), lower education (OR 4.2), violence experienced from partner (OR 2.5) or from various people (OR 9.5) and self‐harm behaviour (OR 15.0). These results show that the proportion of suicidal patients seeking outpatient psychotherapy is high. It should therefore be a central topic in clinical training. Biographic data such as the loss of a parent at an early age or experiencing violence are associated with who is at increased risk and should be explored in detail.

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Suizidrisiko und Suizidprävention

Lewitzka

Felber

2022

Therapieresistenz Bei Depressionen Und Bipolaren Störungen

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Prevalence and risk factors of suicidal ideation in adult inpatients with five different types of mental disorders

Cited by 11 publications

References 36 publications

Correlates of suicidality in young people with depressive disorders: A systematic review

Correlates of suicidality in young people with depressive disorders: A systematic review

Suicidal ideation and attempts in adults seeking outpatient psychodynamic psychotherapy

Suizidrisiko und Suizidprävention

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