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Suicidal ideation and physical illness: Does the link lie with depression?

Sanna, Livia, Stuart, Amanda L., Pasco, Julie A., Kotowicz, Mark A., Berk, Michael, Girardi, Paolo and Williams, Lana J. 2014, Suicidal ideation and physical illness: Does the link lie with depression?, Journal of affective disorders, vol. 152-154, no. 1, pp. 422-426, doi: 10.1016/j.jad.2013.10.008.

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Title Suicidal ideation and physical illness: Does the link lie with depression?
Author(s) Sanna, Livia
Stuart, Amanda L.
Pasco, Julie A.ORCID iD for Pasco, Julie A. orcid.org/0000-0002-8968-4714
Kotowicz, Mark A.
Berk, MichaelORCID iD for Berk, Michael orcid.org/0000-0002-5554-6946
Girardi, Paolo
Williams, Lana J.ORCID iD for Williams, Lana J. orcid.org/0000-0002-1377-1272
Journal name Journal of affective disorders
Volume number 152-154
Issue number 1
Start page 422
End page 426
Total pages 5
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2014-01
ISSN 0165-0327
Keyword(s) comorbidity
depression
medical illness
suicidal ideation
Summary Objective
Medical illness is a risk factor for suicidality; however, disorder-specific risks are not well-known and these relationships are often explained by major depressive disorder (MDD). We aimed to investigate the relationship between suicidal ideation, MDD and medical illnesses in an age-stratified, population-based sample of men participating in the Geelong Osteoporosis Study.

Methods
Suicidal ideation and medical conditions were self-reported. Medical conditions were confirmed by medical records, medication use or clinical data where possible. MDD was determined using the Structured Clinical Interview for DSM-IV-TR Research Version, Non-patient edition.

Results
Of the 907 men, 8.5% reported suicidal ideation. Thyroid disorders (OR 3.85, 95%CI 1.2–12.1), syncope and seizures (OR 1.96, 95%CI 1.1–3.5), liver disorders (OR 3.53, 95%CI 1.1–11.8; younger men only) and alcoholism (OR 2.15, 95%CI 1.1–4.4) were associated with increased odds of suicidal ideation, independent of age and MDD. Major vascular events doubled the odds of suicidal ideation but this was explained by MDD. No association was evident with high medical burden, musculoskeletal disease, metabolic factors, gastrointestinal disorders, headaches, cardiovascular disease, COPD, cancer and psoriasis.

Conclusion
Health care professionals should focus on identification, assessment and management of suicidal ideation in the medically ill in patients both with and without MDD.
Language eng
DOI 10.1016/j.jad.2013.10.008
Field of Research 110399 Clinical Sciences not elsewhere classified
Socio Economic Objective 920410 Mental Health
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2014, Elsevier
Persistent URL http://hdl.handle.net/10536/DRO/DU:30065244

Document type: Journal Article
Collection: School of Medicine
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Created: Thu, 31 Jul 2014, 14:10:51 EST by Jane Moschetti

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