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Suicidal plans in patients with acute stroke

Y Kishi1, J T Kosier, R G Robinson

  • 1Department of Psychiatry, University of Iowa College of Medicine, Iowa City 52242-1057, USA.

The Journal of Nervous and Mental Disease
|May 1, 1996
PubMed
Summary

Suicidal thoughts affect 6.6% of acute stroke patients, often linked to depression, younger age, and cognitive issues. Early risk factor identification, especially depression, is key for effective intervention in stroke survivors.

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Area of Science:

  • Neurology
  • Psychiatry
  • Public Health

Background:

  • Stroke survivors face significant mental health challenges.
  • Suicidal ideation is a serious concern in post-stroke populations.
  • Understanding risk factors is crucial for prevention.

Purpose of the Study:

  • To identify clinical correlates of suicidal thoughts in acute stroke patients.
  • To investigate the relationship between stroke characteristics and suicidal ideation.
  • To determine predictors of suicidal plans in this cohort.

Main Methods:

  • Cross-sectional study of 301 acute stroke patients.
  • Assessment of suicidal thoughts and plans.
  • Evaluation of demographic, clinical, and functional factors.

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Main Results:

  • 6.6% of patients reported suicidal thoughts.
  • Previous stroke history, younger age, poor social support, sensory deficits, and cognitive impairment were associated with suicidal thoughts.
  • Suicidal thoughts were not correlated with physical impairment severity.
  • Major depression was prevalent in patients with suicidal thoughts.
  • Depression in patients with suicidal plans featured social withdrawal, brooding, and self-blame.

Conclusions:

  • Suicidal thoughts are a significant issue in acute stroke patients.
  • Depression and specific psychosocial factors are key risk factors.
  • Early screening for depression and psychosocial risk factors is recommended for intervention.