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Titolo:
Suicidal ideas in stroke patients 3 and 15 months after stroke
Autore:
Pohjasvaara, T; Vataja, R; Leppavuori, A; Kaste, M; Erkinjuntti, T;
Indirizzi:
Univ Helsinki, Cent Hosp, Dept Clin Neurosci, Memory Res Unit, FIN-00029 Helsinki, Finland Univ Helsinki Helsinki Finland FIN-00029 it, FIN-00029 Helsinki, Finland Univ Helsinki, Cent Hosp, Stroke Unit, Memory Res Unit, FIN-00029 Helsinki, Finland Univ Helsinki Helsinki Finland FIN-00029 it, FIN-00029 Helsinki, Finland Univ Helsinki, Cent Hosp, Dept Psychiat, Psychiat Consultat Unit, FIN-00029 Helsinki, Finland Univ Helsinki Helsinki Finland FIN-00029 it, FIN-00029 Helsinki, Finland
Titolo Testata:
CEREBROVASCULAR DISEASES
fascicolo: 1, volume: 12, anno: 2001,
pagine: 21 - 26
SICI:
1015-9770(2001)12:1<21:SIISP3>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
POSTSTROKE DEPRESSION; AFFECTIVE-DISORDERS; MONOAMINE METABOLITES; CEREBROSPINAL-FLUID; MENTAL-DISORDERS; SUBSTANCE-ABUSE; LESION LOCATION; FOLLOW-UP; BEHAVIOR; FREQUENCY;
Keywords:
stroke; suicidal ideas; depression; dependence;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
45
Recensione:
Indirizzi per estratti:
Indirizzo: Erkinjuntti, T Univ Helsinki, Cent Hosp, Dept Clin Neurosci, Memory Res Unit, POB 300, FIN-00029 Helsinki, Finland Univ Helsinki POB 300 Helsinki Finland FIN-00029 , Finland
Citazione:
T. Pohjasvaara et al., "Suicidal ideas in stroke patients 3 and 15 months after stroke", CEREB DIS, 12(1), 2001, pp. 21-26

Abstract

Patients with stroke may have an increased risk of suicide. We sought to examine the frequency and clinical correlates of suicidal ideas 3 and 15 months after stroke. The study group comprised 286 of 486 consecutive patientsaged 55-85 years who at 3 and 15 months after ischemic stroke completed a detailed medical, neurological and radiological stroke evaluation, structured measures of cognition (Mini Mental State Examination), emotion (Beck Depression Inventory, BDI), disability (Rankin scale), and assessment of dependent living. Suicidal ideas were present in 9.8% (n = 28) at 3 months' follow-up and in 14.0% (n = 40) at 15 months' follow-up. The patients with suicidal ideas were more depressed measured by BDI both at 3 (17.0 vs. 7.9, p <0.001) and 15 months (20.5 vs. 8.5, p < 0.001) after stroke compared to the patients without suicidal ideas. Patients with suicidal ideas had more often a history of a stroke already before the index stroke (35 vs. 18.3%, p = 0.0154), right-sided stroke (60.0 vs. 41.9%, p = 0.0323), they were more disabled according to the Rankin scale (2.4 vs. 1.9; p = 0.0035) and more dependent in living (45.0 vs. 27.2%, p = 0.023) 15 months after stroke. An independent correlate of suicidal ideas 15 months after stroke was history of prior stroke (OR 2.4; 95% CI 1.14-4.97) in logistic regression analysis. The frequency of suicidal ideas increased with the time elapsed from stroke. Recurrent strokes, depressive symptoms, more disabling stroke and right-sided stroke correlated to suicidal ideas at 15 months after stroke. Early identification of these risk factors may lead to effective therapeutic intervention. Copyright (C) 2001 S. Karger AG. Basel.

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Documento generato il 22/01/20 alle ore 06:38:27