Prevalence of depression and past suicide attempt in primary care

Indu, Pillaveetil Sathyadas; Anilkumar, Thekkethayyil Viswanathan; Pisharody, Ramdas; Russell, Paul Swamidhas Sudhakar; Raju, Damodaran; Sarma, P. Sankara; Remadevi, Saradamma; Amma, Kazuo; Sheelamoni, A.; Andrade, Chittaranjan

doi:10.1016/j.ajp.2017.02.008

Cited by 46 publications

(39 citation statements)

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“…In Asian countries such as China, 40% to 70% of suicides were associated with a history of mental disorders [ 44 , 45 ]. Multiple studies have indicated that different types of mental disorders predict different levels of suicide risk [ 46 – 49 ]. In particular, schizophrenia has the highest risk for suicide [ 50 ].…”

Section: Discussionmentioning

confidence: 99%

Insomnia as an independent predictor of suicide attempts: a nationwide population-based retrospective cohort study

et al. 2018

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BackgroundNumerous studies have verified that insomnia is associated with suicidal ideation, suicide attempts, and death by suicide. Limited population-based cohort studies have been conducted to examine the association. The present study aimed to analyze whether insomnia increases the risk of suicide attempts and verify the effects of insomnia on suicide risk.MethodsThis study is a cohort study using 2000–2013 hospitalization data from the National Health Insurance Research Database (NHIRD) to track the rate of suicide attempts among insomnia patients aged 15 years or older. In addition, a 1:2 pairing based on sex, age, and date of hospitalization was conducted to identify the reference cohort (patients without insomnia). Cox proportional hazard model was used to assess the effects of insomnia on suicide risk.ResultsThe total number of hospitalized patients aged 15 years or older was 479,967 between 2000 and 2013 (159,989 patients with insomnia and 319,978 patients without insomnia). After adjusting for confounders, suicide risk in insomnia patients was 3.533-fold that of patients without insomnia (adjusted hazard ratio [HR] = 3.533, 95% confidence interval [CI] = 3.059–4.080, P < 0.001). Suicide risk in low-income patients was 1.434-fold (adjusted HR = 1.434, 95% CI = 1.184–1.736, P < 0.001) that of non-low-income patients. Suicide risk in patients with drug dependence and with mental disorders was 1.592-fold (adjusted HR = 1.592, 95% CI = 1.220–2.077, P < 0.001) and 4.483-fold (adjusted HR = 4.483, 95% CI = 3.934–5.109, P < 0.001) that of patients without drug dependence and without mental disorders, respectively. In the female population, suicide risk in insomnia patients was 4.186-fold (adjusted HR = 4.186, 95% CI = 3.429–5.111, P < 0.001) that of patients without insomnia. Among patients aged 25–44 years, suicide risk in insomnia patients was 5.546-fold (adjusted HR = 5.546, 95% CI = 4.236–7.262, P < 0.001) that of patients without insomnia. Furthermore, the suicide risk of insomnia patients with mental disorders was 18.322-fold that of patients without insomnia and mental disorders (P < 0.001).ConclusionInsomnia, low income, drug dependence, and mental disorders are independent risk factors for suicide attempts. Female patients and those aged 25–44 years are at high risk of suicide due to insomnia. Insomnia, mental disorders, and low income exhibit a synergistic effect on suicide attempts. Clinicians should pay attention to mental status and income level of insomnia patients.Electronic supplementary materialThe online version of this article (10.1186/s12888-018-1702-2) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Insomnia as an independent predictor of suicide attempts: a nationwide population-based retrospective cohort study

et al. 2018

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“…Data of participants were analyzed with the software SPSS 15.0 (SPSS Inc. Chicago, Illinois), and Epi Info 7. The following parameters were used to calculate the sample size: a 9.2% prevalence of suicide attempts in women [ 12 ], a 99.9% confidence level, a 5% of confidence limits, and a population size of 100,000. Thus, a sample size of 360 subjects was obtained.…”

Section: Methodsmentioning

confidence: 99%

Association Between Suicidal Behavior and Clinical Features of Premenstrual Syndrome and Menstrual History: A Cross Sectional Study

Alvarado‐Esquivel

2018

J Clin Med Res

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BackgroundThe link between suicidal behavior and premenstrual syndrome has been poorly studied. This study aimed to determine the association of suicide attempts, and suicidal ideation and signs and symptoms of premenstrual syndrome and menstrual history in women in Durango City, Mexico.MethodsUsing a cross-sectional study design, 437 women were interviewed to obtain clinical data about their premenstrual period, menstrual history and suicidal behavior. Logistic regression was used to assess the association between suicide behavior and clinical features of women. Odds ratio (OR) adjusted by age, presence of mental illness, and residence area, and 95% confidence interval (CI) were obtained.ResultsOf these women, 29 (6.6%) had a history of suicidal ideation, and 15 (3.4%) had a history of suicide attempts. Logistic regression showed that suicidal ideation was associated with the variables: presence of irregular periods (OR = 2.89; 95% CI: 1.10 - 7.55; P = 0.03), low back pain (OR = 4.57; 95% CI: 1.31 - 15.92; P = 0.01), desire to eat certain food or eat a lot (OR = 2.47; 95% CI: 1.10 - 5.57; P = 0.02), guilty feeling (OR = 2.43; 95% CI: 1.06 - 5.59; P = 0.03), and aggressiveness (OR = 3.19; 95% CI: 1.42 - 7.13; P = 0.005). Whereas logistic regression showed that a history of suicide attempts was associated with the variables: presence of irregular periods (OR = 9.57; 95% CI: 1.23 - 74.44; P = 0.03), and desire to eat certain food or eat a lot (OR = 3.08; 95% CI: 1.04 - 9.15; P =0.04).ConclusionsIn this first study on the link of suicide behavior and clinical features of premenstrual syndrome, results suggest that suicidal ideation and suicide attempts are associated to specific signs or symptoms of premenstrual syndrome. Further research to confirm the findings of this study is needed. Results might help for an optimal planning of preventive measures against suicide.

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“…The statistical analysis was performed using the software Epi Info 7, and SPSS 15.0 (SPSS Inc. Chicago, IL). The sample size was calculated using the following data: 1) a reference seroprevalence of 9.2% [ 11 ] as the expected frequency of suicide attempts in women, 2) a population size of 50,000, 3) a 5% of confidence limits, and 4) a 99.9% confidence level. The result of the sample size calculation was 359 subjects.…”

Section: Methodsmentioning

confidence: 99%

“…On the other hand, more than half of suicide victims contact their general practitioners in the month before the commitment of suicide [ 8 , 9 ]. In outpatients of primary care settings, the prevalence of suicide attempts varies among countries, i.e., 1.2% in Morocco [ 10 ], and 6.9% in India [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Suicidal Ideation and Suicide Attempts in Middle-Aged Women Attending a Primary Care Center: A Cross-Sectional Study in Mexico

Alvarado‐Esquivel

2018

J Clin Med Res

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BackgroundVery little is known about suicide attempts in middle-aged women in Mexico. The aims of this study were to determine: 1) the prevalence of suicidal ideation and suicide attempts in middle-aged women in Durango City, Mexico; and 2) the suicide attempt prevalence association with the sociodemographic, clinical, and behavioral characteristics of the women studied.MethodsThrough a cross-sectional study, 395 middle-aged women were surveyed. Suicidal ideation, suicide attempt data, and the characteristics of the women were obtained with the aid of a questionnaire. Bivariate and multivariate analyses were used to determine the association between suicide attempts and the characteristics of women.ResultsOf the 395 women (mean age: 46.97 ± 5.34 years) studied, 50 (12.7%) had suicide ideation, and 20 (5.1%) had suicide attempts. The number of suicide attempts among these 20 women varied from 1 to 10 times. The most frequent method used for suicide attempt was intake of medicaments (in 11 women). None of the sociodemographic characteristics was associated with suicide attempts. Women with suicide ideation, abdominal pain frequently, and reflexes impairment had a significantly higher frequency of suicide attempts than those without these characteristics. Logistic regression of behavioral variables showed that only the variable alcohol consumption was independently associated with suicide attempts (odds ratio = 2.82; 95% confidence interval: 1.01 - 7.84; P = 0.04).ConclusionsResults suggest that suicidal ideation and suicide attempts are prevalent among women of middle-age attending a public primary care center in Durango City. This is the first report of an association between suicide attempts and reflexes impairment. Factors associated with suicide attempts found in this study may help in the design of preventive measures against suicide.

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Prevalence of depression and past suicide attempt in primary care

Cited by 46 publications

References 18 publications

Insomnia as an independent predictor of suicide attempts: a nationwide population-based retrospective cohort study

Insomnia as an independent predictor of suicide attempts: a nationwide population-based retrospective cohort study

Association Between Suicidal Behavior and Clinical Features of Premenstrual Syndrome and Menstrual History: A Cross Sectional Study

Suicidal Ideation and Suicide Attempts in Middle-Aged Women Attending a Primary Care Center: A Cross-Sectional Study in Mexico

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