Suicidal Ideas in Stroke Patients 3 and 15 Months after Stroke

作者: T. Pohjasvaara , R. Vataja , A. Leppävuori , M. Kaste , T. Erkinjuntti

DOI: 10.1159/000047676

关键词:

摘要: Patients with stroke may have an increased risk of suicide. We sought to examine the frequency and clinical correlates suicidal ideas 3 15 months after stroke. The study group comprised 286 486 consecutive patients aged 55-85 years who at ischemic completed a detailed medical, neurological radiological evaluation, structured measures cognition (Mini Mental State Examination), emotion (Beck Depression Inventory, BDI), disability (Rankin scale), assessment dependent living. Suicidal were present in 9.8% (n = 28) months' follow-up 14.0% 40) follow-up. more depressed measured by BDI both (17.0 vs. 7.9, p < 0.001) (20.5 8.5, compared without ideas. had often history already before index (35 18.3%, 0.0154), right-sided (60.0 41.9%, 0.0323), they disabled according Rankin scale (2.4 1.9; 0.0035) living (45.0 27.2%, 0.023) An independent correlate was prior (OR 2.4; 95% CI 1.14-4.97) logistic regression analysis. time elapsed from Recurrent strokes, depressive symptoms, disabling correlated Early identification these factors lead effective therapeutic intervention.

参考文章(38)
Dalia M. Adams, James C. Overholser, Suicidal behavior and history of substance abuse. American Journal of Drug and Alcohol Abuse. ,vol. 18, pp. 343- 354 ,(1992) , 10.3109/00952999209026071
Tarja Pohjasvaara, Antero Leppävuori, Irina Siira, Risto Vataja, Markku Kaste, Timo Erkinjuntti, Frequency and Clinical Determinants of Poststroke Depression Stroke. ,vol. 29, pp. 2311- 2317 ,(1998) , 10.1161/01.STR.29.11.2311
Samuel B. Guze, Eli Robins, Suicide and Primary Affective Disorders British Journal of Psychiatry. ,vol. 117, pp. 437- 438 ,(1970) , 10.1192/BJP.117.539.437
George E Murphy, Richard D Wetzel, The Lifetime Risk of Suicide in Alcoholism Archives of General Psychiatry. ,vol. 47, pp. 383- 392 ,(1990) , 10.1001/ARCHPSYC.1990.01810160083012
Are depressive symptoms nonspecific in patients with acute stroke American Journal of Psychiatry. ,vol. 148, pp. 1172- 1176 ,(1991) , 10.1176/AJP.148.9.1172
CSF 5-hydroxyindoleacetic acid levels in suicidal schizophrenic patients American Journal of Psychiatry. ,vol. 141, pp. 566- 569 ,(1984) , 10.1176/AJP.141.4.566
François Primeau, Post-stroke depression: a critical review of the literature. The Canadian Journal of Psychiatry. ,vol. 33, pp. 757- 765 ,(1988) , 10.1177/070674378803300816