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. Attached Files Name Description MIMEType Size Downloads Title Suicidal ideation and physical illness: Does the link lie with depression? Author(s) Sanna, Livia Stuart, Amanda L. Pasco, Julie A. orcid.org/0000-0002-8968-4714 Kotowicz, Mark A. Berk, Michael orcid.org/0000-0002-5554-6946 Girardi, Paolo 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 Collections: Faculty of Health School of Medicine Related Links Link Description Connect to published version (restricted access) Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Thu, 31 Jul 2014, 14:11:04 EST Fri, 01 Aug 2014, 08:45:45 EST Fri, 15 Aug 2014, 15:22:36 EST Fri, 15 Aug 2014, 15:25:43 EST Mon, 18 Aug 2014, 09:07:16 EST Wed, 17 Dec 2014, 10:46:25 EST Tue, 07 Jun 2016, 11:42:47 EST Filtered Full Citation counts:   Cited 30 times in TR Web of Science Cited 29 times in Scopus Search Google Scholar Access Statistics: 911 Abstract Views, 4 File Downloads  -  Detailed Statistics Created: Thu, 31 Jul 2014, 14:10:51 EST by Jane Moschetti