scholarly journals Clinical and Socio-Demographic Correlates in Depressive Patients with Suicidal Ideas & Suicidal Attempts

2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Dr. Syed Ummer. I ◽  
Dr. Sushith Sugathan. C
Keyword(s):  
Major Depressive Disorder ◽  
Suicidal Ideation ◽  
Depressive Disorder ◽  
Tamil Nadu ◽  
Suicide Attempts ◽  
Suicidal Attempt ◽  
Major Depressive ◽  
Clinical Correlates ◽  
Suicidal Attempts ◽  
Suicidal Ideas

Background: Suicide has a strong association with mental disorder and contributes to the excess mortality of the mentally ill. Suicidal ideation is prevalent and appears to be a precondition for suicide attempts among psychiatric patients with Major Depressive disorder. Though ideas and attempts may overlap there are studies that show the two are separate clinical entities with unique psycho-socio demographic profile. Aim: To study correlates in patients with suicidal ideation and those with suicide attempts in a cohort of major depressive disorder patients. Methodology:  Study was conducted at the Inpatient psychiatry unit at a private medical college in Coimbatore, Tamil Nadu. It was a Cross sectional study design. Patients consecutively admitted with major depressive disorder (DSM IV TR) were recruited. Severity of suicidal ideations and attempts were rated on validated scales and the socio demographic and clinical correlates were analyzed. Results: Clinical correlates like severity of depression, severity of suicidal ideation and history of past suicidal attempt were positively correlated with severity of suicidal ideation as well as severity of current suicidal attempts in the cohort of depressive disorder patients. Conclusion: Assessment of current episode severity of both suicidal ideation as well as suicidal attempt is important in identifying high risk patients with major depressive disorder.

Suicidal Imagery in Borderline Personality Disorder and Major Depressive Disorder

2020 ◽  
Vol 34 (4) ◽  
pp. 546-564 ◽  
Author(s):  
Katharina Schultebraucks ◽  
Moritz Duesenberg ◽  
Martina Di Simplicio ◽  
Emily A. Holmes ◽  
Stefan Roepke
Keyword(s):  
Major Depressive Disorder ◽  
Borderline Personality Disorder ◽  
Suicidal Ideation ◽  
Personality Disorder ◽  
Depressive Disorder ◽  
Mental Imagery ◽  
Suicide Attempts ◽  
Borderline Personality ◽  
Major Depressive ◽  
Patient Groups

A better understanding of suicidal behavior is important to detect suicidality in at-risk populations such as patients with borderline personality disorder (BPD), posttraumatic stress disorder (PTSD), and major depressive disorder (MDD). Suicidal tendencies are clinically assessed by verbal thoughts rather than by specifically asking about mental images. This study examines whether imagery and verbal thoughts about suicide occur and differ between patients with BPD with and without comorbid PTSD compared to patients with MDD (clinical controls). All patient groups experienced suicide-related images. Patients with BPD with comorbid PTSD reported significantly more vivid images than patients with MDD. Severity of suicidal ideation, number of previous suicide attempts, and childhood traumata were significantly associated with suicidal imagery across all patient groups. The authors demonstrate for the first time that suicide-related mental imagery occurs in BPD and is associated with suicidal ideation. This finding highlights the importance of assessing mental imagery related to suicide in clinical practice.

The Correlations of Suicide Attempts in Major Depressive Disorder

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
S. Nastase ◽  
D. Ivanovici ◽  
M. Vrabie ◽  
I.M. Dumitrescu ◽  
A. Mihailescu
Keyword(s):  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Suicide Attempts ◽  
Individual Characteristics ◽  
Categorical Variables ◽  
Control Group ◽  
Major Depressive ◽  
Historical Case ◽  
Suicidal Attempts ◽  
The Individual

Objective:We have pursued the association between clinical and socio-demographic characteristics and the suicide attempts at inpatients with major depressive disorder.Method:We ran an historical case control study to analyse the individual characteristics associated with suicide attempts in the depression inpatients admitted into the 9th Department of the Clinical Psychiatric Hospital “Al. Obregia” between 01 January 2007 - 01 January 2008. A total of 168 subjects with major depressive disorder (MDD) were included in the study. The patients were separated into two subgroups: “S” - the group with suicide attempt as reason of the present admission into hospital and the comparative group “C” - those without a suicidal attempt at the present admission (used as control group). The two groups were compared with respect to the individual characteristics, following their possible association with the suicidal attempts risk. We used the chi-square (x2) statistic for categorical variables.Results:Our findings suggest that the most robust predictors of suicide attempts in depression are the younger age of the depression onset, previous psychiatric hospitalizations, low socio-economic status, “single” marital status (widowed/divorced), with no children, heredocolateral history of suicidal attempts and the comorbidity with the problematic alcohol consumption.Conclusion:The risk factors associated with the suicidal attempts are useful for the screening, finding, prediction and prophylaxis of suicide attempts in major depression.

What make suicide depressions different from non-suicide ones: A diffusion tensor imaging study

2017 ◽  
Vol 41 (S1) ◽  
pp. S351-S351
Author(s):  
H. Zhang ◽  
Z. Jia
Keyword(s):  
Major Depressive Disorder ◽  
White Matter ◽  
Suicidal Ideation ◽  
Depressive Disorder ◽  
Suicide Attempts ◽  
Diffusion Tensor ◽  
Imaging Study ◽  
Major Depressive ◽  
Significant Difference ◽  
Depressive Patients

IntroductionDepression is a common psychiatric disorder affecting many people globally, and the worst outcome is suicide. But its neurobiology is hardly understood.ObjectivesTo use DTI to characterize abnormalities of white matter (WM) integrity in major depressive disorder patients with suicide attempts or suicidal ideation.AimsPresent study aimed to give a more complete profile for the association of cerebral WM abnormalities with suicidal behavior in major depressive disorder patients by quantifying the suicidal ideation and behavior severity.MethodsThirteen depressive patients with suicide attempts (SA), 14 depressive patients with suicidal ideation but no suicide attempts (SI), 13 depressive patients without suicidal ideation or suicide attempts (NSD) and 40 healthy controls (HC) received MRI scans on a 3 T magnet. Whole brain voxel-based analysis of FA based on DTI was performed among the four groups using a threshold of P < 0.05 with FWE correction. FA values were extracted by Marsbar software to quantify the changes.ResultsThe four groups had significant differences of FA in the in the left splenium of corpus callosum (peak Z = 5.36 at −14, −36, 22). Quantify comparison revealed that SA had significant decreased FA value than SI, NSD, and HC. There was no significant difference among the other three groups, although there was a trend that SI and NSD had lower FA values than HC in this region.ConclusionsDepression and suicide are associated with microstructure abnormalities of the white matter and patients with suicide attempts may have severe cerebral alteration.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Clinical correlates of planned, more lethal suicide attempts in major depressive disorder

2009 ◽  
Vol 112 (1-3) ◽  
pp. 237-242 ◽  
Author(s):  
Atsuo Nakagawa ◽  
Michael F. Grunebaum ◽  
Maria A. Oquendo ◽  
Ainsley K. Burke ◽  
Haruo Kashima ◽  
...  
Keyword(s):  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Suicide Attempts ◽  
Major Depressive ◽  
Clinical Correlates

scholarly journals Predictors of Suicidal Ideation and Attempt among Patients with Major Depressive Disorder at a Tertiary Care Hospital, Puducherry

2021 ◽  
Vol 12 (01) ◽  
pp. 122-128
Author(s):  
Ralte Lalthankimi ◽  
Padmavathi Nagarajan ◽  
Vikas Menon ◽  
Jeby Jose Olickal
Keyword(s):  
Major Depressive Disorder ◽  
Suicidal Ideation ◽  
Depressive Disorder ◽  
Rating Scale ◽  
Tertiary Care ◽  
Severe Depression ◽  
Care Hospital ◽  
Suicidal Behaviors ◽  
Major Depressive ◽  
Severity Of Depression

Abstract Objectives Mental disorders have a large impact on death by suicide. Hence, this study aims to determine the prevalence of suicidal behaviors among major depressive disorder (MDD) patients and the associated factors. Materials and Methods This cross-sectional analytical study was conducted among individuals aged 18 to 65 years, diagnosed with MDD in the Psychiatry Outpatient Department of a Tertiary Care Center, Puducherry during March to October 2019. Severity of depression was assessed using Hamilton Depression Rating Scale and Columbia-Suicide Severity Rating Scale was used to find the suicidal behaviors. Results For 166 participants in the study, mean (standard deviation) age was 40 (11) years and majority were females (76%). More than one-third (37%) had severe or very severe depression, and the prevalence of suicidal ideation, plan, and attempts were 83, 24, and 35%, respectively. After adjusting the covariates, the severity of depression and unemployment were significantly associated with suicidal attempts (adjusted prevalence ratios [aPR] = 11.4 and 1.9), and very severe depression was associated with suicidal ideation (aPR = 1.6). Among 140 individuals with suicidal ideation, 45 (32%) had an ideation frequency of 2 to 3 times/week, 69 (50%) had ideation for 1 hour, 36 (26%) could control ideation with little difficulty, and 12% had suicidal ideation mostly to end or stop their pain. Conclusion Suicidal ideation and attempts were significantly high in MDD patients, and the severity of depression was significantly associated with it. Early identification of high-risk suicidal behavior and implementation of effective preventive interventions are necessary to reduce death by suicide in these groups.

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