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Suicidal ideation and HIV testing.

S Perry1, L Jacobsberg, B Fishman

  • 1Cornell University Medical College, New York Hospital, NY.

JAMA
|February 2, 1990
PubMed
Summary
This summary is machine-generated.

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Human immunodeficiency virus (HIV) antibody testing did not increase suicidal ideation in asymptomatic individuals. Rates of suicidal ideation decreased in both seropositive and seronegative groups after testing and counseling.

Area of Science:

  • Psychiatry
  • Public Health
  • Infectious Diseases

Background:

  • Suicidal ideation is a significant concern in individuals at risk for human immunodeficiency virus (HIV).
  • Understanding the psychological impact of HIV antibody testing is crucial for patient care and public health strategies.

Purpose of the Study:

  • To assess the effect of HIV antibody testing on suicidal ideation in asymptomatic, at-risk individuals.
  • To evaluate changes in suicidal ideation following HIV testing and counseling.

Main Methods:

  • A cohort of 301 individuals (244 men, 57 women) at perceived risk for HIV infection underwent antibody testing.
  • The Beck Depression Inventory (BDI) was administered at baseline, 1 week, and 2 months post-notification.
  • All participants received comprehensive pre-test and post-test counseling.

Related Experiment Videos

Main Results:

  • Among 49 seropositive subjects, suicidal ideation rates decreased from 28.6% at entry to 16.3% at 2 months, with no increase observed.
  • In 252 seronegative subjects, suicidal ideation decreased from 30.6% at entry to 15.9% at 2 months.
  • Suicidal ideation correlated with modified BDI scores (r = .50–.55).

Conclusions:

  • HIV antibody testing, coupled with extensive counseling, does not appear to elevate suicidal ideation in asymptomatic, at-risk individuals.
  • Psychological support is vital for individuals undergoing HIV testing, as indicated by correlations between suicidal ideation and depression scores.