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Suicidal ideation in psoriasis

M A Gupta1, N J Schork, A K Gupta

  • 1Department of Psychiatry, University of Michigan Medical School, Ann Arbor.

International Journal of Dermatology
|March 1, 1993
PubMed
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Psoriasis patients frequently experience suicidal thoughts and wishes to be dead, directly linked to increased depression and psoriasis severity. This highlights the need for integrated mental health care in psoriasis management.

Area of Science:

  • Dermatology
  • Psychiatry
  • Mental Health

Background:

  • Psoriasis is linked to depression and suicidal ideation.
  • Previous research suggested severe depression is primarily associated with life-threatening conditions.

Purpose of the Study:

  • To investigate the prevalence of depressive symptoms and suicidal ideation in psoriasis patients.
  • To explore the relationship between psoriasis severity and mental health indicators.

Main Methods:

  • 217 psoriasis patients completed the Carroll Rating Scale for Depression (CRSD).
  • Patients self-rated their psoriasis severity.
  • CRSD included items on death wishes and suicidal ideation.

Main Results:

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  • 9.7% of patients reported a wish to be dead; 5.5% reported active suicidal ideation.
  • Death wishes and suicidal ideation correlated with higher depression scores (P < 0.0001) and psoriasis severity (P < 0.05).
  • Psoriasis severity directly correlated with overall depression scores (r = 0.39, P < 0.0001).

    • Conclusions:

    • Depressive symptoms and suicidal ideation are comorbid with psoriasis severity.
    • Findings contrast with the notion that severe depression is exclusive to life-threatening diseases.
    • Results suggest implications for psoriasis management strategies.