Suicidal ideation among individuals with dysvascular lower extremity amputation

Area of Science:

• Medical Research
• Psychiatry
• Rehabilitation Medicine

Background:

• Suicidal ideation (SI) is a significant concern following lower extremity amputation (LEA).
• Understanding the prevalence and correlates of SI post-LEA is crucial for patient care.

Purpose of the Study:

• To estimate the prevalence of SI one year after a first LEA.
• To identify factors associated with SI in this population.

Main Methods:

• A cohort survey was conducted with patients undergoing their first LEA.
• Data on SI, depression, mobility, daily activities, and self-efficacy were collected at 12-month follow-up.
• Statistical analyses included univariate and multivariable models.

Main Results:

• Approximately 15.7% of patients reported SI at 12 months post-amputation.
• SI was associated with lower mobility, lower satisfaction with mobility and activities of daily living (ADL), lower self-efficacy, and depressive symptoms.
• Depressive symptoms were the strongest predictor of SI in multivariable analysis.

Conclusions:

• Suicidal ideation is a prevalent issue among individuals one year after LEA.
• While depression is a primary correlate, physical functioning, satisfaction, and self-efficacy also play a role.
• Screening for depression and SI is recommended for patients post-LEA.