作者: T. Pohjasvaara , R. Vataja , A. Leppävuori , M. Kaste , T. Erkinjuntti
DOI: 10.1159/000047676
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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.