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Suicide risk in chronic heart failure patients and its association with depression, hopelessness and self esteem

Hasan Korkmaz1, Sevda Korkmaz2, Mustafa Çakar2

  • 1Department of Cardiology, Fırat University, Faculty of Medicine, Elazıg, Turkey.

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
|August 4, 2019
PubMed

Insights

Patients with chronic heart failure face increased suicide risk, linked to higher depression and hopelessness, and lower self-esteem. Early identification of suicidal ideation is crucial for prevention and treatment in this population.

Area of Science:

  • Cardiology
  • Psychiatry
  • Mental Health

Background:

  • Heart failure significantly impacts quality of life and is associated with psychiatric disorders like depression and anxiety.
  • Chronic heart failure patients often experience reduced psychological well-being.
  • Understanding the psychological burden of heart failure is critical for comprehensive patient care.

Purpose of the Study:

  • To investigate suicide risk in patients with chronic heart failure.
  • To examine the association between suicide risk, depression, hopelessness, and self-esteem in this patient group.
  • To identify psychological factors contributing to suicidal ideation in heart failure.

Main Methods:

  • A case-control study involving 32 patients with chronic heart failure and 32 healthy controls.
  • Utilized sociodemographic forms, Beck Hopelessness Scale (BHS), Beck Depression Inventory (BDI), Rosenberg Self-Esteem Scale (RSE), and Suicide Probability Scale (SPS).

Main Results:

  • Patients with chronic heart failure exhibited significantly higher scores on the BHS, BDI, and SPS compared to controls.
  • The patient group demonstrated statistically lower self-esteem (RSE) than the control group.
  • A significant positive correlation was found between suicide risk (SPS) and hopelessness (BHS), and depression (BDI) and self-esteem (RSE).

Conclusions:

  • Suicide risk is elevated in patients with chronic heart failure.
  • Increased hopelessness, depression, and low self-esteem are significant correlates of higher suicide risk in this population.
  • Identifying suicidal ideation in heart failure patients is vital for preventing suicidal behavior and improving treatment outcomes.

Keywords:
Heart failureHopelessnessSelf-esteemSuicide risk

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