Suicidal ideation and suicidal attempts among adults with chronic diseases: A cross-sectional study

Kye, Su-Yeon; Park, Keeho

doi:10.1016/j.comppsych.2016.12.001

Cited by 72 publications

(48 citation statements)

References 40 publications

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“…Recurrent stroke, depression and sleep disturbance raised the PSS rates approximately twice, while older age, men, smoking and depression were closely related to PSS for more than 1 year. The main risk factors for PSS were previous stroke and depression 26 Contradictory results have been reported on the location and laterality of PSS 30-31 , but we did not observe a clear trend on this point as well. Both socioeconomic and clinical factors have been shown to increase the risk for suicide.…”

Section: Discussioncontrasting

confidence: 88%

Meta-analysis of risk factors associated with suicidal ideation after stroke: A focus on Asian populations

zhang

Qiu

Zhu

et al. 2020

Preprint

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Background Over the past decade, increasing attention has been paid on post-stroke suicide (PSS), which is one of complications of stroke. The rates of stroke and suicide are relatively high, especially in Asian populations. Thus, a deeper understanding of the prevalence and epidemiological impact of suicide after stroke is urgently needed. Clinical diagnosis and prevention of PSS are at the incipient stage, but the risk factors responsible for the occurrence of PSS in different regions and stages of the disease remain largely unknown. The present meta-analysis aimed to determine the incidence of PSS at different stages and time courses, and to identify the underlying risk factors for PSS. Methods We systematically searched the Cochrane library, Embase, PubMed,CNKI and Web of Science databases from their inception until April 2019. The research articles reporting on the risk factor for PSS were screened and included in the meta-analysis. The data from the included studies were extracted according to the predefined criteria. Results A total of 12 studies (n = 2693036) were included for meta-analyses. Of these studies, 7 reported suicide prevalence were meta-analyzed. The pooled estimate of suicidal ideation rates after stroke was 12%, which could be influenced by multiple risk factors, including men, smoking, depression, sleep disorders, previous stroke and low household income. Studies conducted in Asia demonstrated higher suicide prevalence (approximately 15%) compared to other regions. Smoking, alcohol consumption, low family income, depression, heart disease and sleep disorders were the important risk factors for the pathogenesis of suicide after stroke. When compared to PSS more than one year, the incidence of suicide within one year after stroke was more likely to be statistically significant. It was found that 4 out of every 1,000 stroke survivors tended to commit suicide. The results of this meta-analysis showed that depression (OR = 2.32; p < 0.01) was significantly associated with suicidal ideation, regardless of stroke duration. Conclusion Despite some limitations, we successfully identified the prevalence of PSS in Asian populations and the underlying risk factors. Based on the results of this meta-analysis, 4 out of every 1,000 stroke survivors committed suicide and the individuals with suicidal ideation tended to suicide within one year after stroke. Notably, depression was significantly associated with suicidal ideation, regardless of stroke duration. In addition, stroke survivors with low household income had nearly double the risk of suicidal ideation, especially in Asian populations. Hence, targeting the identified risk factors may be helpful to improve stroke patient care and prevent suicidal ideation after stroke.(Registration No. CRD42019128813).

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Section: Discussioncontrasting

confidence: 88%

Meta-analysis of risk factors associated with suicidal ideation after stroke: A focus on Asian populations

zhang

Qiu

Zhu

et al. 2020

Preprint

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“…Among a total of 4 770 767 participants, 310 681 were patients with AD (52.7% female) and 4 460 086 served as controls (50.9% female) ( Table 1). Seven articles 18,20,23,24,[26][27][28] studied only adults, 2 articles 22,25 studied only children (<18 years old), 3 articles 16,17,21 studied both adults and children, and 3 articles 14,15,19 did not report the age of the participants. The study locations included North America (n = 1), Europe (n = 6), Africa (n = 1), and Asia (n = 7) ( Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…40,41 In studies 16,27 comparing patients with mild AD vs patients with moderate to severe AD, patients with moderate to severe AD were found to have a higher prevalence of suicidal ideation but not completed suicides. Greater disease severity of AD is associated with increased sleep loss, more severe pruritus, and higher depression and anxiety rates, which can all contribute to more A and B, Shown are 11 studies 14,15,18,[20][21][22][24][25][26][27][28] suicidal ideation. 42 Despite these findings, there is a shortage of studies investigating subpopulations, and more studies are needed to better understand these associations.…”

Section: Discussionmentioning

confidence: 99%

Association Between Atopic Dermatitis and Suicidality

Sandhu

Bui

et al. 2019

JAMA Dermatol

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IMPORTANCE Atopic dermatitis (AD) is a chronic inflammatory skin disease associated with numerous psychiatric comorbidities. However, the association between AD and suicidality has not been well established. OBJECTIVE To synthesize the available literature to evaluate the association between AD and suicidality. DATA SOURCE The protocol was prospectively registered in the PROSPERO database (CRD42018105291). STUDY SELECTION Per PRISMA guidelines, PubMed, Embase, PsycINFO, and Cochrane databases were systematically searched for relevant articles published from 1946 to May 25, 2018. The search criteria for PubMed were as follows: (dermatitis, atopic [MeSH] OR eczema [MeSH]) AND (suicidal ideation [MeSH] OR suicide, attempted [MeSH] OR suicide [MeSH] OR suicidality OR suicidal behavior). The search criteria for Embase, PsycINFO, and Cochrane were as follows: (atopic dermatitis OR eczema) AND (suicidal ideation OR suicide attempt OR suicide OR suicidality OR suicidal behavior). DATA EXTRACTION AND SYNTHESIS This systematic review and meta-analysis performed in an academic medical setting included observational studies that evaluated suicidal ideation, suicide attempts, and completed suicide among patients with AD. MAIN OUTCOME AND MEASURE The quality of included studies was assessed using the Newcastle-Ottawa Scale for observational studies. RESULTS The analysis identified 15 studies with a total of 4 770 767 participants, of whom 310 681 were patients with AD (52.7% female) and 4 460 086 served as controls (50.9% female). In the meta-analyses, patients with AD were 44% more likely to exhibit suicidal ideation (pooled odds ratio, 1.44; 95% CI, 1.25-1.65) and 36% more likely to attempt suicide (pooled odds ratio, 1.36; 95% CI, 1.09-1.70) compared with patients without AD. Studies investigating completed suicides in patients with AD had inconsistent results. CONCLUSIONS AND RELEVANCE Results of this study suggest that patients with AD are at significantly increased risk of suicidal ideation and suicide attempts. It is important for dermatology providers to be aware of this risk, screen for suicidality in patients with AD, and make mental health referrals when necessary.

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“…W niektórych obszarach medycyna nadal jest bezsilna, a choroba staje się jednym z czynników ryzyka samobójstwa. 1 Chorzy mogą czuć się zobowiązani do zaakceptowania przedłużającej życie interwencji medycznej, ponieważ jest ona dostępna i uznana społecznie, a akceptowanie śmierci, gdy opcje leczenia nie zostały jeszcze wyczerpane, jest postrzegane jako społeczne i moralne tabu. 2 Choroba może doprowadzić do podjęcia decyzji o wspomaganym samobójstwie (ang.…”

Section: Wprowadzenieunclassified

Physician-assisted suicide in the opinion of nurses who work in palliative and hospice institutions

Chilmończyk¹,

Kobos²

2019

Piel. Zdr. Publ.

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Wprowadzenie. Nieuleczalna choroba i cierpienie mogą doprowadzić do podjęcia decyzji o PAS. Procedura ta polega na dostarczeniu choremu przez lekarza środków niezbędnych do dokonania aktu zakończenia życia. Pielęgniarki są często pierwszymi osobami, które słyszą prośbę pacjenta o PAS lub eutanazję. Cel pracy. Poznanie opinii pielęgniarek pracujących w hospicjach na temat PAS. Materiał i metody. Do badania wykorzystano autorski kwestionariusz ankiety składający się z 33 stwierdzeń sklasyfikowanych w 4 kategoriach: aspekty moralne, wartość życia, aspekty praktyczne oraz aspekty prawne. W badaniu wzięły udział 92 osoby. W hospicjum domowym pracowało 42% badanych, a w stacjonarnym 58%. Analizy statystyczne wykonano przy użyciu programu STATISTICA v. 12, do oceny korelacji zastosowano analizę korelacji R Spearmana. Wyniki. Pielęgniarki uważają, że to zdecydowanie niemoralne oczekiwać od kogokolwiek pomocy w samobójstwie (52%). Według nich lekarstwem na cierpienie powinna być naturalna śmierć (30%), a PAS, bez względu na okoliczności, nie jest etycznie uzasadnione (24%), nawet w przypadku pacjentów starszych (46%) oraz śmiertelnie chorych lub cierpiących (46%). Czterdzieści procent badanych jest przeciwnych wprowadzeniu prawa zezwalającego chorym na poproszenie lekarza, aby pomóc im zakończyć życie, nawet gdyby lekarze wyznaczeni przez sąd zgodzili się na to po ustaleniu, że pacjenta nie można wyleczyć. Taki sam procent ankietowanych zdecydowanie nie poparłby zalegalizowania PAS, nawet gdyby nie brał udziału w tej procedurze. Wnioski. Około jedna piąta pielęgniarek jest proszona przez pacjenta lub jego rodzinę o podanie leku lub wykonanie innego czynu powodującego jego śmierć. Pielęgniarki pracujące w hospicjum wysoko cenią wartość życia, nie popierają PAS i nie są skłonne do brania w nim udziału.

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Suicidal ideation and suicidal attempts among adults with chronic diseases: A cross-sectional study

Cited by 72 publications

References 40 publications

Meta-analysis of risk factors associated with suicidal ideation after stroke: A focus on Asian populations

Meta-analysis of risk factors associated with suicidal ideation after stroke: A focus on Asian populations

Association Between Atopic Dermatitis and Suicidality

Physician-assisted suicide in the opinion of nurses who work in palliative and hospice institutions

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