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Suicidal ideation among the hypertensive individuals in Shandong, China: a path analysis

Dandan Ge1, Xinyi Zhang1, Xiaolei Guo2

  • 1School of Public Health, Shandong University, Jinan, 250012, China.

BMC Psychiatry
|September 4, 2019
PubMed

Insights

Suicidal ideation (SI) affects 19.6% of hypertensive individuals. Psychological distress is the primary driver of SI, mediating other risk factors like economic status and comorbidity.

Area of Science:

  • Psychiatry
  • Cardiology
  • Public Health

Background:

  • Suicidal ideation (SI) is a significant concern, yet its prevalence and associated factors among hypertensive individuals remain understudied.
  • Hypertension is a widespread condition, making the exploration of mental health comorbidities crucial for comprehensive patient care.

Purpose of the Study:

  • To investigate the prevalence of SI in hypertensive individuals.
  • To identify factors associated with SI in this population.
  • To explore the direct and indirect relationships between these factors and SI, with a focus on the mediating role of psychological distress.

Main Methods:

  • A cross-sectional study involving 3,911 hypertensive individuals in Shandong, China.
  • Assessment of SI using a question from the National Comorbidity Survey (NCS).
  • Binary logistic regression and path analysis were employed to identify associated factors and their relationships with SI.

Main Results:

  • The prevalence of SI among hypertensive individuals was found to be 19.6%.
  • Psychological distress exhibited the strongest direct and total effect on SI (β=0.640, p<0.01).
  • Other factors such as comorbidity, gender, marital status, economic status, residence, alcohol use, exercise, and hospitalization had indirect effects, mediated by psychological distress.

Conclusions:

  • Psychological distress significantly mediates the relationship between various factors (e.g., economic status, comorbidity) and suicidal ideation in hypertensive patients.
  • These findings highlight the critical role of addressing psychological distress in managing SI among individuals with hypertension.
Abstract

Keywords:
HypertensionPath analysisPsychological distressSuicidal ideation

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