Suicidal Ideation and Attempts Among Psychiatric Patients With Major Depressive Disorder

Sokero, T Petteri; Melartin, Tarja; Rytsälä, Heikki; Leskelä, Ulla; Lestelä-Mielonen, Paula; Isometsä, Erkki

doi:10.4088/jcp.v64n0916

Cited by 314 publications

(276 citation statements)

References 275 publications

(299 reference statements)

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“…Rather, these studies found that the relationship is mediated by suicidal ideation. That is, suicidal ideation is influenced by level of hopelessness and suicidal ideation influences risk of suicide attempt (Valtonen et al, 2005;Sokero et al, 2003;Dieserud et al, 2001). However, it is important to note that literature in this area has been inconsistent.…”

Section: Discussionmentioning

confidence: 99%

The role of moral objections to suicide in the assessment of suicidal patients

Lizardi

Dervic

Grunebaum

et al. 2008

Journal of Psychiatric Research

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Section: Discussionmentioning

confidence: 99%

The role of moral objections to suicide in the assessment of suicidal patients

Lizardi

Dervic

Grunebaum

et al. 2008

Journal of Psychiatric Research

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“…Each item is rated on a 3-point scale from 0 to 2; the higher the total score, the greater the severity of suicide ideation. In some previous studies on adult suicidality a score of 6 or more has been used as a cutoff threshold for clinically significant suicidal ideation (Sokero et al, 2003). While the 19-item SSI (Beck et al, 1979) was used to evaluate the current intensity of the patients' specific attitudes, behaviors, and plans to commit suicide, the first 5 items are used to screen for attitudes toward living and dying, and only patients who report a desire to make an active (item no.…”

Section: Scale For Suicide Ideation (Ssi)mentioning

confidence: 99%

Is it valid to measure suicidal ideation by depression rating scales?

Desseilles

Perroud

Guillaume

et al. 2012

Journal of Affective Disorders

174

119

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Objective: To date, most researchers rely on suicidal items of scales primarily designed to measure depression severity to capture suicidal ideation (SI). This study aims at investigating how well the suicide item of the clinician rated Hamilton Scale for Depression (HAM-D) and principal factors derived from this scale correlate with SI scores derived from a well validated measure of SI: the Beck's scale for SI (SSI). Method: 281 suicide attempters consecutively hospitalized between 2007 and 2009 were assessed by using the SSI, the HAM-D and the self-report Beck Depression Inventory (BDI). Principal Component Analysis (PCA) was computed to extract main factors. Correlations between these factors, BDI's and HAM-D's suicide items and the SSI scores were then computed. Results: Three components were derived from the PCA. Factor 2 showed a major loading for the HAM-D suicide item. Both the HAM-D suicide item and Factor 2 positively correlated with the SSI total score (both p b 0.00001). Moreover, the BDI suicide item highly correlated with the Factor 2 (p b 0.001) and the SSI total score (p b 0.00001). Finally, the HAM-D suicide item correlated significantly with the number of suicide attempts (p = 0.0001) and the age at the first attempt (p = 0.002). Limitations: Our sample was heterogeneous and future studies should refine the taxonomy of the suicidal behavior in specific sub-populations. The study design was cross-sectional and replication in a prospective study is needed. Conclusion: These findings suggest that the use of a single suicide item or a dimensional factor derived from a depression scale might be a valid approach to assess the suicidal ideations. Moreover, the results suggest that clinician rated scales as well as self-report questionnaires are equally valid to do so.

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“…Farmer et a1 12 found that 66% of people with MDD experienced SI in the previous week. In a population of psychiatric patients with MDD, Sokero et al 5 found that 58% experienced SI during the current MDE, and 95% of MDD patients who had attempted suicide had SI.…”

Section: S Erious Si Is Not Uncommon In the General Populationmentioning

confidence: 99%

“…Studies have consistently identified an association between SI and hopelessness. 5,[25][26][27] Patients with anxiety disorders have been shown to be at increased risk of SI. 17 In particular, studies have found SI to have a significant association with panic disorder.…”

Section: S Erious Si Is Not Uncommon In the General Populationmentioning

confidence: 99%

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Clinical and Sociodemographic Characteristics Associated with Suicidal Ideation in Depressed Outpatients

et al. 2013

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Objective: To identify clinical and sociodemographic characteristics associated with suicidal ideation (SI) among patients seeking care for depression in routine primary and psychiatric care settings. Methods:We examined data from 4041 treatment-seeking outpatients with major depressive disorder (MDD) to compare baseline sociodemographic and clinical characteristics of those with and without SI, and the presence or absence of baseline depressive symptoms and psychiatric comorbidities in those with SI.Results: SI was significantly (P < 0.01) associated with numerous sociodemographic characteristics (that is, lower level of education, Caucasian or African American, male, unemployed, and treated in psychiatric care) and clinical features (that is, previous suicide attempt, younger age of MDD onset, greater baseline depressive symptom severity, greater number of depressive symptoms, and presence of agoraphobia and [or] generalized anxiety disorder). Elevated levels of SI at baseline were associated with decreased remission rates.Conclusions: Consistent with past findings, increased rates of SI were associated with greater depressive symptom severity as well as other features suggestive of severity of illness. Our results confirm previous findings of associations between SI and panic and (or) phobic symptoms and anxiety, but did not confirm previous findings of an association between SI and alcohol or drug use and (or) dependence. While selective serotonin reuptake inhibitor monotherapy appeared significantly helpful in reducing SI during the course of treatment, the presence of SI at baseline was found to be a associated with decreased treatment response, with patients reporting SI at the start of treatment being less likely to achieve remission.

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Suicidal Ideation and Attempts Among Psychiatric Patients With Major Depressive Disorder

Abstract: 9Abbreviations 11

Cited by 314 publications

References 275 publications

The role of moral objections to suicide in the assessment of suicidal patients

The role of moral objections to suicide in the assessment of suicidal patients

Is it valid to measure suicidal ideation by depression rating scales?

Clinical and Sociodemographic Characteristics Associated with Suicidal Ideation in Depressed Outpatients

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