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A study of suicidal thoughts in acute stroke patients

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dc.contributor.authorSantos, Catarina Oliveira
dc.contributor.authorCaeiro, Lara
dc.contributor.authorFerro, José
dc.contributor.authorFigueira, Maria Luísa
dc.date.accessioned2012-02-09T16:42:26Z
dc.date.available2012-02-09T16:42:26Z
dc.date.issued2011
dc.description.abstractBACKGROUND: In previous studies, suicidal thoughts in stroke patients were related to depression and recurrent stroke. The aim of this study was to describe the presence and correlates of suicidal thoughts in acute stroke patients. METHODS: We assessed the presence of suicidal thoughts in a sample of 177 consecutive acute stroke patients (≤4 days), using the item "suicidal thoughts" of the Montgomery and Asberg Depression Rating Scale. RESULTS: Fifteen percent of acute stroke patients had suicidal thoughts, 22% of them with explicit plans to complete suicide. Suicidal thoughts were more frequent in patients with a lower educational level (Chi-square 4.69; P = .05), previous mood disorder (Chi-square 12.80; P = .001), diabetes (Chi-square 5.48; P = .04), and acute depression (Chi-square 16.59; P = .001). In logistic regression, a lower educational level (odds ratio [OR] 5.13; 95% confidence interval [CI] 0.80-33.29), diabetes (OR 3.15; 95% CI 0.81-12.28), a previous mood disorder (OR 4.22; 95% CI 1.12-15.86), and depression (OR 7.82; 95% CI 1.58-38.71) were independent factors predicting suicidal thoughts (R(2) = 0.39%). The 23 depressed acute stroke patients with suicidal thoughts were similar in demographic, clinical, and lesion variables, and were similar in profile of depression to the 63 patients with depression but without suicidal thoughts, except for a higher frequency of a previous mood disorder in the former group (Chi-square 7.87; P = .01). CONCLUSIONS: Suicidal thoughts may develop shortly after the onset of acute stroke, especially in patients with a lower educational level, a previous mood disorder, and those who developed depressive symptoms in the acute phase of stroke. The high frequency of suicidal thoughts makes the assessment of suicidal behavior in patients with acute stroke an important clinical issue.por
dc.identifier.citationJournal of Stroke and Cerebrovascular Diseases, Vol. -, No. - (---), 2011: pp 1-6 (Article in Press)por
dc.identifier.issn1052-3057
dc.identifier.urihttp://hdl.handle.net/10451/5210
dc.identifier.urihttp://www.sciencedirect.com/science/article/pii/S1052305711000826
dc.identifier.urihttp://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2011.04.001
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherElsevierpor
dc.subjectAcute depressionpor
dc.subjectStrokepor
dc.subjectAcutepor
dc.subjectSuicidal thoughtspt_PT
dc.titleA study of suicidal thoughts in acute stroke patientspor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleJournal of Stroke and Cerebrovascular Diseasespor
person.familyNameMorão Cabral Ferro
person.givenNameJosé Manuel
person.identifier.ciencia-id6F16-7E25-7AAF
person.identifier.orcid0000-0002-2343-9097
rcaap.rightsrestrictedAccesspor
rcaap.typearticlepor
relation.isAuthorOfPublication9a568ce6-d218-44fc-982c-0ffe7bffc197
relation.isAuthorOfPublication.latestForDiscovery9a568ce6-d218-44fc-982c-0ffe7bffc197

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