Subthreshold lifetime depression and anxiety are associated with increased lifetime suicide attempts: A Korean nationwide study

Author(s):  
Ji Hyun An ◽  
Hong Jin Jeon ◽  
SeongJin Cho ◽  
Sung Man Chang ◽  
ByungSoo Kim ◽  
...  
2011 ◽  
Vol 69 (2b) ◽  
pp. 342-348 ◽  
Author(s):  
S Stefanello ◽  
L Marín-Léon ◽  
P T Fernandes ◽  
L M Li ◽  
N J Botega

OBJECTIVE: To estimate the frequency of depression/anxiety and to establish the social, epilepsy and psychiatric characteristics in individuals with epilepsy. METHOD: A cross-sectional study was employed to evaluate 153 subjects with epilepsy who were identified in a previous community-based survey. First, a structured interview was conducted, followed by a psychiatric evaluation. Subjects with depression were compared to those without, and subjects with anxiety were compared to those without. RESULTS: The prevalence of anxiety and depression was 39.4 and 24.4%, respectively. Both were associated with low schooling (OR 3.8, 95% CI 1.6 to 9.0 and OR 2.8, 95% CI 1.2 to 6.5 for depression and anxiety, respectively), lifetime suicidal thoughts (OR 4.4, 95% CI 1.9 to 10.3 and OR 3.6, 95% CI 1.7 to 7.7) and lifetime suicide attempts (OR 9.3, 95% CI 2.6 to 32.8 and OR 6.9, 95% CI 1.8 to 26.4). CONCLUSION: The high rates of depression and anxiety reinforced the need for recognition and treatment of mental disorders in epilepsy.


2016 ◽  
Vol 33 (S1) ◽  
pp. S395-S396 ◽  
Author(s):  
M. Pompili ◽  
M. Innamorati ◽  
D. Erbuto ◽  
A. Costanzo

IntroductionPsoriasis has a significant impact on the mental and emotional functioning.ObjectiveIt has been reported that the risk of psychiatric comorbidity increases with the severity of the disorder, and the most frequent associations appear to be those with depression and anxiety.AimsTo analyze the association between psoriasis, mental disorders and suicidal ideation in a sample of patients affected by psoriasis. To investigate the differences between psoriasis patients and patients with other dermatologic diseases.MethodsParticipants were 242 consecutive patients (142 women and 100 men), 112 patients with psoriasis (46.3%), 77 with melanoma (31.8%) and 53 with allergy (21.0%). All patients were administered a structured sociodemographic interview and the following measures: the Hamilton Rating Scale for Depression (HAM-D) and the Hamilton Rating Scale for Anxiety (HAM-A). We also assessed current and previous suicidal ideation and previous suicide attempts.ResultsPatients with psoriasis (compared to other groups of patients) more frequently had a comorbid mood disorder (16.1% vs 3.9% and 0.0%, respectively for patients with melanoma and patients with allergy; χ22 = 14.98; P < 0.001), past suicidal ideation (33.9% vs 15.6% and 18.9%, respectively for patients with melanoma and patients with allergy; χ22 = 2.05; P < 0.01) and attempts (6.3% vs 0.0% and 0.0%, for the other groups of patients; χ22 = 8.37; P < 0.05). Patients with psoriasis reported higher HAM-D scores than melanoma patients.ConclusionsThe clinical evaluation of patients with psoriasis should include the assessment of psychiatric comorbidities and the routinely assessment of suicide risk.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2013 ◽  
Vol 38 (8) ◽  
pp. 1504-1511 ◽  
Author(s):  
Yair J Ben-Efraim ◽  
Danuta Wasserman ◽  
Jerzy Wasserman ◽  
Marcus Sokolowski

2020 ◽  
Vol 14 (12) ◽  
pp. 1437-1442
Author(s):  
Hüsniye Yucel ◽  
S Burak Acikel ◽  
Saliha Senel

Introduction: There have been several studies investigating the association between Toxoplasma gondii seropositivity and psychiatric disorders although there is insufficient data on causality. Suicide, depression, and anxiety disorders have been especially investigated in this regard. In this study, we aimed to investigate whether there is any causal association between Toxoplasma gondii seropositivity and suicide attempts in adolescents. Methodology: This is a case-control study conducted between January and December 2019. A total of 27 adolescents who had attempted suicide and were aged between 12 and 18 years were included in the study. 26 age and sex ratio matched healthy volunteers were taken as the control group. A possible association between suicide attempts and Toxoplasma gondii serology (IgM and IgG) was investigated.. Results: The suicide attempt group consisted of 17 females and 10 males. The mean age was 15.9 ± 1.4 (13.5-17.9) years. Toxoplasma gondii IgG seropositivity was 3.7% (1/27) in the suicide attempt group and 3.8% (1/26) in the control group. There was no significant association between the suicide attempt group and the control group in terms of the presence of Toxoplasma gondii IgG antibodies (p > 0.05). Conclusion: Our study is one of the few studies examining the association between Toxoplasma gondii seropositivity and suicide attempts in adolescents yet we did not find any significant association. Further evidence is needed to clarify this controversial issue.


2014 ◽  
Vol 48 (1) ◽  
Author(s):  
Amanda L. Du Plessis

According to SADAG (South African Depression and Anxiety Group) there are 23 suicides and 230 serious suicide attempts in South Africa every day. The dynamics of suicide is highly complex and there are no simple explanations or easy answers. The SADAG article shows that suicidal thoughts during times of crisis are much more common than the average person would care to admit. Believers are no exception. Suicide offers an inviting escape from difficult circumstances to a desperate person. As such, suicide confronts the pastoral counsellor with a stressful and terrifying challenge. This article explores pastoral principles that can help a counsellor provide guidance to women on matters related to suicide and offers information on suicide in three parts. The first part of the article investigates the implications of suicidal thoughts or attempts and the effect of an actual suicide on the people who remain behind. The second part examines how the church’s views on suicide have changed over the centuries. The third and final part applies the outcomes of the first two sections to offer guidelines for current-day pastoral guidance to women based on scientific research into the field of practical theology.Pastorale beginsels vir die begeleiding van vroue ten opsigte van selfmoord. Volgens SADAG (South African Depression and Anxiety Group) is daar daagliks 23 selfmoordgevalle en 230 ernstige selfmoordpogings in Suid-Afrika. Die dinamiek rondom selfmoord is hoogs kompleks en daar bestaan geen eenvoudige verduidelikings en maklike antwoorde hieromtrent nie. Die SADAG-artikel toon aan dat selfmoordgedagtes in krisistye baie meer algemeen is as wat die deursnee mens sou wou erken. Dit is ook geen uitsondering by gelowiges nie. Vir die desperate persoon kan dit selfs ’n aanloklike uitkoms in moeilike omstandighede wees. Vir die pastorale berader is hierdie kwessie ’n stresvolle en vreesaanjaende uitdaging. Hierdie artikel stel ondersoek in na pastorale beginsels wat van belang is vir die begeleiding van vroue ten opsigte van selfmoord, en bied inligting rondom die kwessie in drie dele aan. Eerstens is daar ’n ondersoek na die implikasies van selfmoordgedagtes en -pogings sowel as die effek van so ’n daad op die mense wat agterbly. Tweedens word die kerk se verskillende opvattings deur die eeue ten opsigte van selfmoord bespreek; en derdens word die bevindings van eersgenoemde twee dele aan die hand van wetenskaplike navorsing in die pastorale begeleiding aan vroue ondersoek.


PEDIATRICS ◽  
1994 ◽  
Vol 93 (2) ◽  
pp. 315-315
Author(s):  
Mauri J. Marttunen ◽  
Hillevi M. Aro ◽  
Jouko K. Lonnqvist

Characteristics of adolescent suicide victims (N = 53) were investigated in a nationwide study of suicides in Finland. The data were collected through interviews with the victims' parents and attending health cane personnel and from official records. Four victims in 10 had shown antisocial behavior. One-third of the adolescents had previous suicide attempts, and 6 in 10 were known to have venbalized their suicidal thoughts. One-third of the victims had been in contact with a psychiatric care system. The results suggest that most adolescent suicides are an endpoint of long-term difficulties, and all suicidal tendencies among adolescents should be taken seriously.


2019 ◽  
Vol 15 (1) ◽  
pp. 179-205 ◽  
Author(s):  
Ayelet Meron Ruscio

Is there a clear line between normal and abnormal mood? Studies of manifest and latent structure provide strong support for a continuum that extends from asymptomatic to subsyndromal to syndromal cases of increasing severity. Subsyndromal symptoms are impairing, predict syndrome onset and relapse, and account for more doctor's visits and suicide attempts than the full syndromes, yet they are not recognized in the current classification. For most research and some clinical activities, dimensional diagnoses are recommended, and examples are offered for how such diagnoses could be made. For clinical activities requiring decisions, a multithreshold model is proposed in which both lower (e.g., mild depression, capturing subsyndromal cases) and upper (e.g., major depression, capturing clinically significant cases) diagnostic categories are used to inform clinical care. Beyond its implications for diagnosis, the dimensionality of depression and anxiety has implications for etiology and for research aimed at understanding how emotions become disrupted in psychopathology.


2019 ◽  
Vol 24 (3) ◽  
pp. 473-485
Author(s):  
Yoon-Joo Cho

This study aimed to explore and identify the trends and risks, as well as the protective factors of child suicide in Korea. Data from the 10th year Korea Welfare Panel Study in 2016 were used. These data were collected from 458 fourth to sixth grade boys and girls in elementary schools. The results showed that the mean suicidal ideation score was 1.55, the suicide attempt rate was .9%, and the mean number of suicide attempts was .2. Suicidal ideation was more prevalent in children who reported the absence of a parental figure, frequent experiences of school violence, increased Internet use, and decreased guidance and supervision from parents. The presence of parental figure explained the greatest amount of variance. Logistic regression analysis with suicide attempts as the dependent variable demonstrated that family income was a significant variable. Regarding the mediating roles of depression and anxiety, Internet usage directly affected children’s suicidal ideation, while the experience of school violence, academic stress, and parents’ guidance and supervision affected suicidal ideation, which was mediated by the child’s depression and anxiety. Depression and anxiety had a positive impact on suicidal ideation. Based on these results, implications and interventions were suggested.


2020 ◽  
Vol 54 (8) ◽  
pp. 808-817
Author(s):  
Christopher Rohde ◽  
Philip Brink ◽  
Søren D Østergaard ◽  
Jimmi Nielsen

Objective: To investigate the effectiveness of stimulants in patients with depression, by using naturalistic outcome measures, such as psychiatric admissions, psychiatric bed-days and incidents of intentional self-harm or suicide attempts. Methods: Via linkage of the Danish nationwide health registers, we identified all patients with a diagnosis of depression initiating stimulants, including methylphenidate, modafinil, amphetamine, dexamphetamine or lisdexamphetamine, from 1995 to 2012. We used a mirror-image model to test whether redemption of a stimulant prescription was associated with a reduction in psychiatric admissions, inpatient days and incidents of intentional self-harm or suicide attempts. Specifically, the number of these outcomes in the 2 years leading up to redemption of a stimulant prescription was compared to the two subsequent years. Similar outcomes were used in a reverse mirror-image model to investigate the effect of stimulant termination. Results: A total of 3354, 935 and 105 patients diagnosed with depression redeemed prescriptions for methylphenidate, modafinil or amphetamine/dexamphetamine/lisdexamphetamine, respectively. Initiation of methylphenidate was not associated with a significant change in psychiatric admissions (mean: −0.02 admissions, p = 0.11) or inpatient days (mean: 0.13 days, p = 0.74). Similar findings were made for modafinil and the amphetamines. In addition, no clinically relevant change in psychiatric admissions or inpatient days was found after termination of a stimulant. After initiation of methylphenidate, the incidents of self-harm or suicide attempts were reduced by 54%, from 68 to 31 events ( p = 0.004). No significant change in incidents of self-harm or suicide attempts were found for modafinil or the amphetamines. Conclusion: This nationwide study, using naturalistic outcomes, does not support the use of stimulants in patients with depression. However, the use of methylphenidate was associated with a 54% reduction in incidents of self-harm or suicide attempts, indicating that methylphenidate may potentially be useful in patients with depression with suicidal- or self-harming behaviour. However, further studies are needed, before any firm conclusions can be made.


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