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Factors associated with post-stroke suicidal death.

Jin Pyo Hong1, Subin Park2, Sung-Ho Ahn3

  • 1Department of Psychiatry, Sungkyunkwan University School of Medicine, Samsung Medical Center, South Korea.

Journal of Psychiatric Research
|October 17, 2017
PubMed
Summary
This summary is machine-generated.

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Stroke patients face double the risk of suicide compared to the general population. Key risk factors include depression, diabetes, and large brain lesions, informing crucial prevention strategies.

Area of Science:

  • Neurology
  • Psychiatry
  • Public Health

Background:

  • Stroke survivors have an increased risk of suicidal death compared to the general population.
  • Identifying specific risk factors is crucial for developing targeted suicide prevention strategies in this vulnerable group.

Purpose of the Study:

  • To estimate the relative risk of suicidal death among stroke patients compared to the general population.
  • To identify significant risk factors associated with suicidal death in post-stroke patients.

Main Methods:

  • A cohort of 7175 stroke patients admitted between 2005-2012 was analyzed.
  • Standardized Mortality Ratio (SMR) was calculated using national suicide data.
  • A 1:6 case-control study identified risk factors for suicidal death.
Keywords:
DepressionLesion locationStrokeSuicide

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Main Results:

  • The SMR for post-stroke suicide was 2.14, indicating approximately double the risk.
  • Thirty stroke patients died by suicide, with a mean interval of 1.9 years post-admission.
  • Diabetes mellitus, depression, and large subcortical/brainstem ischemic lesions were significantly associated with suicidal death.

Conclusions:

  • Stroke patients exhibit a significantly elevated risk of suicide.
  • Depression, diabetes, and specific lesion locations are critical factors for suicide prevention in stroke survivors.
  • Integrating these findings into clinical practice can enhance suicide prevention efforts for stroke patients.