Suicidal ideation in patients with rheumatoid arthritis. Research may help identify patients at high risk.

摘要: Editor—The finding of Carson et al   —   that depression associated with progressive physical (neurological) illness may lead to suicidal ideation   —   has important clinical implications and be generalisable.1 Rheumatoid arthritis, the most prevalent chronic inflammatory musculoskeletal disease,2 has been several negative psychological outcomes, including depression.3 Our ongoing studies indicate that almost 11% hospital outpatients rheumatoid arthritis (13 out 123; 95% confidence interval 5% 16%) experience ideation, as detected by Nottingham health profile.4 At first glance, patients longstanding disease (of more than four years' duration) seem likely report ideation (12%) those early less two (7%). Sex also play a part, 14% female reporting compared only 3% male patients. However, anxiety scale,5 is factor; 30% significantly higher proportion 7% seen in who are not depressed (χ2=9.54, P<0.01). This confirmed binary logistic regression used examine simultaneously predictive value age, sex, duration anxiety, depression. In this analysis presence was (odds ratio 4.47, P<0.05). These findings support suggestion al mental assessment physically ill should form part routine evaluation, particularly illness. Further research help identify demographic, psychosocial profile could predict at high risk developing ideation.