Suicide in obstructive lung, cardiovascular and oncological disease

Alias, Ali; Bertrand, Lia; Bisson‐Gervais, Vanessa; Henry, Mélissa

doi:10.1016/j.ypmed.2021.106543

Cited by 5 publications

(5 citation statements)

References 170 publications

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“…So far, most studies on suicidal behavior in chronic physical illness have focused on exploring risk factors of suicidal behavior such as depression (Webb et al, 2012) and functional limitations (Kaplan et al, 2007). Still, there is a need for further testing of complex hypotheses regarding suicidal behavior in chronic physical illness that allow its theory‐informed prediction (Franklin et al, 2017), as well as a nuanced examination of suicidal behavior in chronic physical illness that distinguishes suicidal thoughts, attempts, and completion using ideation‐to action theories of suicide (Alias et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, this study examines the applicability of the ITS to understand suicidal behavior (i.e., passive SI and active SI; suicide plan and attempt) in patients with chronic physical illness, such as renal disease, stroke, and heart disease, which are major types of chronic disease (Center for Disease Control and Prevention, 2022) and are associated with increased suicide risk (Alias et al, 2021; Bartoli et al, 2017; Chen et al, 2018). We tested the following ITS‐informed hypotheses: (1) PB and TB are associated with passive SI; (2) the simultaneous presence of TB, PB, and hopelessness is associated with active SI; and (3) the simultaneous presence of active SI and capability for suicide is associated with suicide plans and attempts (Van Orden et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

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Suicidal behaviors in patients with chronic physical illness: A test on the interpersonal theory of suicide

Shim

Jeong

Jung

et al. 2023

Suicide & Life Threat Behav

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Introduction The unalleviated burden of chronic physical illness (CPI) increases the risk of suicidal behaviors (SB) in affected individuals. This study tested the interpersonal theory of suicide (ITS) in patients with CPI. Methods Patients diagnosed with cardiovascular, cerebrovascular, and renal diseases were recruited from two hospitals in South Korea. Data from 257 participants who completed Time (T) 1 and T2 surveys were analyzed. Hierarchical regression analyses for passive and active suicide ideation (PSI and ASI), and suicide plans and attempts (SP and SA) at both time points were conducted. Results Interpersonal theory of suicide hypotheses were partially supported. Even accounting for factors such as depression, anxiety, and lifetime SA, some main and interaction effects of the ITS constructs explained SB in a cross‐sectional examination, but to a lesser degree in a longitudinal examination that controlled for T1 SB. PB was a consistent correlate of SB. TB was also relevant, as PB–SA association was significant among participants with high TB both times. ASI was associated with SP and SA at T1, and the ASI‐SP association at T1 was stronger at a high CS level. Conclusions Overall, the results suggest the relevance of ITS constructs that warrant attention to prevent SB in patients with CPI.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Suicidal behaviors in patients with chronic physical illness: A test on the interpersonal theory of suicide

Shim

Jeong

Jung

et al. 2023

Suicide & Life Threat Behav

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“…In addition to the mental health conditions associated with an increased risk of suicide, certain physical health conditions such as chronic pain and chronic medical conditions have also been shown to be associated with increased SI and suicide attempts [27][28][29][30][31]. Approximately 20% of the individuals with chronic pain endorse SI [28], while 48% of the patients with fibromyalgia endorse SI [32].…”

Section: Introductionmentioning

confidence: 99%

Telehealth-Supported Decision-making Psychiatric Care for Suicidal Ideation: Longitudinal Observational Study

O’Callaghan¹,

Mahrer

Belanger

et al. 2022

JMIR Form Res

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Background Suicide is a leading cause of death in the United States, and suicidal ideation (SI) is a significant precursor and risk factor for suicide. Objective This study aimed to examine the impact of a telepsychiatric care platform on changes in SI over time and remission, as well as to investigate the relationship between various demographic and medical factors on SI and SI remission. Methods Participants included 8581 US-based adults (8366 in the treatment group and 215 in the control group) seeking treatment for depression, anxiety, or both. The treatment group included patients who had completed at least 12 weeks of treatment and had received a prescription for at least one psychiatric medication during the study period. Providers prescribed psychiatric medications for each patient during their first session and received regular data on participants. They also received decision support at treatment onset via the digital platform, which leveraged an empirically derived proprietary precision-prescribing algorithm to give providers real-time care guidelines. Participants in the control group consisted of individuals who completed the initial enrollment data and completed surveys at baseline and 12 weeks but did not receive care. Results Greater feelings of hopelessness, anhedonia, and feeling bad about oneself were most significantly correlated (r=0.24-0.37) with SI at baseline. Sleep issues and feeling tired or having low energy, although significant, had lower correlations with SI (r=0.13-0.14). In terms of demographic variables, advancing age and education were associated with less SI at baseline (r=−0.16) and 12 weeks (r=−0.10) but less improvement over time (r=−0.12 and −0.11, respectively). Although not different at baseline, the SI expression was evident in 34.4% (74/215) of the participants in the control group and 12.32% (1031/8366) of the participants in the treatment group at 12 weeks. Although the participants in the treatment group improved over time regardless of various demographic variables, participants in the control group with less education worsened over time, after controlling for age and depression severity. A model incorporating the treatment group, age, sex, and 8-item Patient Health Questionnaire scores was 77% accurate in its classification of complete remission. Those in the treatment group were 4.3 times more likely (odds ratio 4.31, 95% CI 2.88-6.44) to have complete SI remission than those in the control group. Female participants and those with advanced education beyond high school were approximately 1.4 times more likely (odds ratio 1.38, 95% CI 1.18-1.62) to remit than their counterparts. Conclusions The results highlight the efficacy of an antidepressant intervention in reducing SI, in this case administered via a telehealth platform and with decision support, as well as the importance of considering covariates, or subpopulations, when considering SI. Further research and refinement, ideally via randomized controlled trials, are needed.

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“…In fact, individuals diagnosed with physical diseases have a risk of completed suicide two to three times higher than those without (Cheng et al, 2000). Cancer carries the highest suicide risk (Johnson et al, 2012;Walker et al, 2022), followed by other diseases such as hypertension, cardiovascular disease, obstructive pulmonary disease, back pain, sleep disorders, and traumatic brain injuries (Ahmedani et al, 2017;Kolva et al, 2020;Alias et al, 2021). Medical illnesses and concomitant depressive symptoms may have a synergistic effect on suicide risk, and somatic comorbidity involving several organs or systems significantly increases the risk (Qin et al, 2013;Castelpietra et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…Among elderly people, specific illnesses associated with completed suicide include congestive heart failure, chronic obstructive pulmonary disease (COPD), seizure disorder, urinary incontinence, psychiatric disorders and pain (Juurlink et al, 2004;Erlangsen et al, 2005;Fässberg et al, 2016). The most significant risk factors associated with suicidal ideation in medically ill patients are feelings of hopelessness, burdensomeness and loneliness, loss of dignity, demoralisation, loss of meaning, feeling incapable, dependent, a burden on the family, isolated and frustrated at no longer being able to take care of daily tasks (Onyeka et al, 2020;Alias et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Suicide risk in medically ill inpatients referred to consultation-liaison psychiatric services: A multicenter study

Balestrieri

Rucci

Murri

et al. 2022

Journal of Affective Disorders

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Suicide in obstructive lung, cardiovascular and oncological disease

Cited by 5 publications

References 170 publications

Suicidal behaviors in patients with chronic physical illness: A test on the interpersonal theory of suicide

Suicidal behaviors in patients with chronic physical illness: A test on the interpersonal theory of suicide

Telehealth-Supported Decision-making Psychiatric Care for Suicidal Ideation: Longitudinal Observational Study

Suicide risk in medically ill inpatients referred to consultation-liaison psychiatric services: A multicenter study

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