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Issue Date
2015-01-23
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Background Increasing evidences indicate that stroke confers a substantial risk for suicidal ideation. The aim of this study was to identify risk factors of suicidal ideation in acute ischemic stroke patients. Method A total of 271 consecutive patients with acute ischemic stroke were recruited in Huai-He hospital or the First People’s Hospital, Kaifeng City, China. Demographic and clinical variables were collected and evaluated. Suicidal ideation was assessed using the Beck Scale for Suicide Ideation (BSI). Multivariate logistic regression was applied to determine the risk factors of suicidal ideation. Results Suicidal ideation was identified in 29 patients (10.7%). It was more frequent in patients who lived in rural region, with pre-/post-stroke depression or diabetes, had a higher NIHSS score, had no confidence in disease treatment, or had a poor coping style. Living in rural region (OR 2.59, 95% CI 1.02-6.58), the presence of pre-stroke depression (OR 11.74, 95% CI 4.45-31.01), stroke severity (OR 1.20, 95% CI 1.08-1.33), having no confidence in disease treatment (OR 14.70, 95% CI 2.60-83.15), and post-stroke depression (OR 16.22, 95% CI 6.40-41.10) were independent risk factors of suicidal ideation. Conclusion Several factors may be associated with an increased risk of suicidal ideation in acute ischemic stroke patients, including pre-/post-stroke depression, more severe stroke, having no confidence in treatment, as well as living in rural region. Our findings may have implication in risk assessment and intervention for acute ischemic stroke patients in reducing the burdens of suicidal ideation.Citation
Dou, J., Tang, J., Lu, C.-H., Jiang, E.-S. and Wang, P.-X. (2015) A study of suicidal ideation in acute ischemic stroke patients, Health and Quality of Life Outcomes, 13, 7, DOI 10.1186/s12955-014-0198-9Publisher
Springer NatureJournal
Health and Quality of Life OutcomesAdditional Links
https://hqlo.biomedcentral.com/articles/10.1186/s12955-014-0198-9Type
Journal articleLanguage
enISSN
1477-7525ae974a485f413a2113503eed53cd6c53
10.1186/s12955-014-0198-9
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Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by/4.0/