Suicidality and its determinants among Polish patients with epilepsy
| Autor: | Marcin Siwek, Magdalena Bosak, Wojciech Turaj, Dominika Dudek, Andrzej Szczudlik |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Multivariate analysis suicidality Comorbidity Suicidal Ideation 03 medical and health sciences Epilepsy Young Adult 0302 clinical medicine Risk Factors Seizures Internal medicine medicine risk factors Humans Family history Psychiatry Suicidal ideation Depression (differential diagnoses) seizures Depressive Disorder business.industry Depression Beck Depression Inventory Mean age Middle Aged medicine.disease Antidepressive Agents 030227 psychiatry depression Cohort epilepsy Surgery Female Neurology (clinical) Poland medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Neurologia i neurochirurgia polska. 50(6) |
| ISSN: | 0028-3843 |
| Popis: | Background and purpose The aim of this study was to evaluate the prevalence of suicidal ideation among Polish patients with epilepsy and to assess the potential determinants of suicidality in this cohort. Material and methods The study comprised 301 patients with epilepsy seen in the tertiary epilepsy clinic. Patients’ characteristics included demographic variables, epilepsy-related variables, as well as occurrence of comorbidities, ongoing use of any other medications, family history of epilepsy and/or depression. Beck Depression Inventory (BDI) was used to assess depressive symptoms, and question no. 9 of BDI was specifically used to reveal suicidality. Results Mean age of subjects was 35.5 years. 113 (37.5%) had frequent seizures and 96 patients (31.9%) had remission. BDI score>11 points (suggestive for depression) was found in 127 subjects. Suicidal ideation has been revealed in 30 (10.0%) out of 301 studied patients. Patients with suicidal ideation were older and more commonly reported frequent seizures. Almost all of them (93.3%) had clinically significant depressive symptoms (BDI score>11). Multivariate analysis revealed that severity of depressive symptoms (OR=1.16 per one-point increase in BDI score, 95% CI: 1.10–1.22, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|