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Suicidal ideation and attempts in patients with stroke: a population-based study
Jae Ho Chung1, Jung Bin Kim2, Ji Hyun Kim3
1Department of Internal Medicine, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, Republic of Korea.
Journal of Neurology
|July 15, 2016
Summary
Stroke survivors face a higher risk of suicidal thoughts and attempts. This study confirms stroke independently increases suicidality risk, even after accounting for other factors.
Area of Science:
- Neurology
- Psychiatry
- Public Health
Background:
- Stroke is a known risk factor for suicide.
- Population-based studies on stroke and suicidality are limited.
Purpose of the Study:
- To compare the risk of suicidal ideation and attempts in stroke patients versus the general population.
- To investigate stroke as an independent risk factor for suicidality.
Main Methods:
- Utilized data from the 2013 Korean Community Health Survey (228,735 participants).
- Compared demographic, socioeconomic, physical, and mental health status between stroke and non-stroke groups.
- Employed multivariable logistic regression to assess the independent effect of stroke on suicidality.
Main Results:
- Stroke patients reported higher rates of depressive mood (12.6% vs 5.7%), suicidal ideation (24.4% vs 9.8%), and attempts (1.3% vs 0.4%).
- Stroke significantly increased the risk for suicidal ideation (OR 1.65) and attempts (OR 1.64), independent of other factors.
- Stroke was identified as an independent risk factor for suicidal ideation and attempts.
Conclusions:
- Stroke independently elevates the risk of suicidal ideation and attempts.
- Healthcare providers should screen stroke patients for suicidality.
- Further research into the mechanisms linking stroke and suicidality is warranted.
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