Suicide attempt and suicidal ideation and their associations with demographic and clinical correlates and quality of life in Chinese schizophrenia patients

Depression is a common mental condition worldwide and a major cause of debility, with the potential to impair the quality of life of affected people. Medical students are more likely to develop psychiatric disorders, with depression, anxiety, and burnout being the most common ones. The aim of this study was to investigate the prevalence of depressive symptoms in medical students and their association with burnout and aspects of life. This is an analytical cross-sectional study. Data collection was performed using four validated scales and a questionnaire in 511 medical students from the first to the fourth year from different universities. Depression was present in 49% of the students. A correlation was found between depression and female gender. Regarding the students' daily sleep time, 54.5% of the students slept only 3 to 6 hours per night. The use of psychoactive substances was reported by 29.9%. Regarding the emotional support offered by universities, about 92.8% of students with depressive symptoms reported not receiving adequate emotional support. As for quality of life, all domains were impaired among students with depression. According to the two-dimensional criterion, 37% of the students have burnout, with correlation between the presence of the syndrome and depressive symptoms. In addition, burnout proved to be an independent risk factor for suicidal ideation and self-mutilation. New methods that can help detect and address factors that trigger stress and depressive symptoms in medical students are needed to reduce the incidence of depression.

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Body dysmorphic disorder

New Oxford Textbook of Psychiatry ◽

10.1093/med/9780198713005.003.0100 ◽

2020 ◽

pp. 1031-1042

Author(s):

Megan M. Kelly ◽

Katharine A. Phillips

Keyword(s):

Quality Of Life ◽

Mental Illness ◽

Suicidal Ideation ◽

Functional Impairment ◽

Clinical Characteristics ◽

Body Dysmorphic Disorder ◽

Psychosocial Interventions ◽

Poor Quality ◽

Clinical Settings

Body dysmorphic disorder (BDD) is a common and unusually severe mental illness, characterized by distressing or impairing preoccupations with non-existent or slight defects in one’s physical appearance, as well as compulsive behaviours, that aim to examine, improve, hide, or obtain reassurance about the perceived defects. BDD is associated with poor quality of life and marked functional impairment, as well as high rates of suicidal ideation and behaviours. Although BDD is often under-recognized in clinical settings, both pharmacotherapy and psychosocial interventions are effective at reducing BDD symptoms and distress. This chapter presents information on the phenomenology, clinical characteristics, diagnosis, epidemiology, pathogenesis, course, and treatment of BDD.

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Patient perspectives

Neuropathic Pain ◽

10.1093/med/9780199563678.003.0019 ◽

2010 ◽

pp. 181-187

Author(s):

S. Jos Closs

Keyword(s):

Quality Of Life ◽

Neuropathic Pain ◽

Suicidal Ideation ◽

Side Effects ◽

Focus Group ◽

Drug Treatment ◽

Sleep Disturbance ◽

Focus Group Research ◽

The Impact

The impact of neuropathic pain on quality of life has been under-researched and poorly understood though survey and focus group research is helping to gain better insights into what patients suffer Neuropathic pain can result in significant sleep disturbance, fatigue, and low mood (that sometimes leads to suicidal ideation), and side-effects from drug treatment are common...

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Interaction between anxiety and depression on suicidal ideation, quality of life, and work productivity impairment: Results from a representative sample of the Lebanese population

Perspectives In Psychiatric Care ◽

10.1111/ppc.12423 ◽

2020 ◽

Vol 56 (2) ◽

pp. 270-279 ◽

Cited By ~ 10

Author(s):

Wael Khansa ◽

Chadia Haddad ◽

Rabih Hallit ◽

Marwan Akel ◽

Sahar Obeid ◽

...

Keyword(s):

Quality Of Life ◽

Suicidal Ideation ◽

Representative Sample ◽

Work Productivity ◽

Anxiety And Depression ◽

Lebanese Population

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Systematic review and meta-analysis of the relationship between sleep disorders and suicidal behaviour in patients with depression

BMC Psychiatry ◽

10.1186/s12888-019-2302-5 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 7

Author(s):

Xiaofen Wang ◽

Sixiang Cheng ◽

Huilan Xu

Keyword(s):

Suicidal Ideation ◽

Suicide Attempt ◽

Sleep Disorders ◽

Suicidal Behaviour ◽

Meta Analysis ◽

Cochrane Library ◽

Assessment Development ◽

Depressed Patients ◽

Completed Suicide

Abstract Background The potential link between sleep disorders and suicidal behaviour has been the subject of several reviews. We performed this meta-analysis to estimate the overall association between sleep disorders and suicidal behaviour and to identify a more specific relationship in patients with depression. Methods A systematic search strategy was developed across the electronic databases PubMed, EMBASE and the Cochrane Library from inception to January 1, 2019 for studies that reported a relationship between sleep disorders and suicidal behaviour in depressed patients. The odds ratio (OR) and corresponding 95% confidence interval (CI) were used to measure the outcomes. Heterogeneity was evaluated by Cochran’s Q test and the I2 statistic. The Newcastle-Ottawa Scale (NOS) was adopted to evaluate the methodological quality of each of the included studies, and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used to assess the quality of the evidence. We calculated the overall association between sleep disorders and suicidal behaviour and estimated more specific categories, including insomnia, nightmares, hypersomnia, suicidal ideation, suicide attempt, and completed suicide. Results A total of 18 studies were included in this study. Overall, sleep disorders were closely related to suicidal behaviour in patients with depression (OR = 2.45 95% CI: 1.33 4.52). The relatively increased risks of sleep disorders with suicidal ideation, suicide attempt and completed suicide ranged from 1.24 (95% CI: 1.00 1.53) to 2.41 (95% CI: 1.45 4.02). Nightmares were found to be highly correlated with the risk of suicidal behaviour (OR = 4.47 95% CI: 2.00 9.97), followed by insomnia (OR = 2.29 95% CI: 1.69 3.10). The certainty of the evidence was rated as very low for the overall outcome and the major depression subgroup and was rated as low for the depression subgroup. Conclusions This meta-analysis supports the finding that sleep disorders, particularly nightmares and insomnia, increase the risk of suicidal behaviour in depressed patients. Considering that all included studies were observational, the quality of the evidence is rated as very low. More well-designed studies are needed to confirm our findings and to better explain the mechanisms by which sleep disorders aggravate suicidal behaviour in depressed patients.

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The prevalence and associated factors of depression among patients with schizophrenia in Addis Ababa, Ethiopia, cross-sectional study

BMC Psychiatry ◽

10.1186/s12888-019-2419-6 ◽

2020 ◽

Vol 20 (1) ◽

Cited By ~ 1

Author(s):

Tolesa Fanta ◽

Desalegn Bekele ◽

Getinet Ayano

Keyword(s):

Quality Of Life ◽

Substance Use ◽

Suicide Attempt ◽

Associated Factors ◽

Cross Sectional Study ◽

Poor Quality ◽

Sectional Study ◽

Comorbid Depression ◽

Cross Sectional

Abstract Background Depression is common among people with schizophrenia and associated with severe positive and negative symptoms, higher rates of disability, treatment resistance and mortality related to suicide, physical and drug-related causes. However, to our knowledge, no study has been conducted to report the magnitude of depression among people with schizophrenia in Ethiopia. Therefore, this study aimed to determine the prevalence and associated factors of depression among people with schizophrenia. Method A hospital-based cross-sectional study was conducted among 418 patients with schizophrenia selected by systematic sampling technique. Patient Health Questionnaire 9 (PHQ-9) was used to measure depression among the study participants. To identify the potential contributing factors, we performed binary and multivariable logistic regression analysis adjusting the model for the potential confounding factors. Odds ratios (OR) with the corresponding 95% confidence interval (95%CI)) was determined to evaluate the strength of association. Result The prevalence estimate of depression among people with schizophrenia was found to be 18.0% [95% confidence interval: 14.50–22.30]. Our multivariable analysis revealed that current substance use (AOR 2.28, 95%CI (1.27, 4.09), suicide attempt (AOR 5.24, 95%CI (2.56, 10.72), duration of illness between 6 and 10 years (AOR 2.09, 95%CI (1.08, 4.04) and poor quality of life (AOR 3.13, 95%CI (1.79, 5.76) were found to be the factors associated with depression among people with schizophrenia. Conclusion The current study revealed that comorbid depression was high among people with schizophrenia and associated with current substance use, suicide attempt, and long duration of the illness as well as poor quality of life. Attention needs to be given to address comorbid depression among people with schizophrenia.

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