Suicidal ideation in patients with coronary heart disease and hypertension: Baseline results from the DEPSCREEN‐INFO clinical trial

Background A high proportion of cardiac patients suffers from depression, which is an antecedent for suicidal ideation. This study identifies clinical vulnerabilities for suicidal ideation in cardiac patients. Methods The primary outcome of the study was severity of suicidal ideation as measured wit...

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Bibliographic Details
Published in:Clinical psychology and psychotherapy 2018-11, Vol.25 (6), p.754-764
Main Authors: Lehmann, Marco, Kohlmann, Sebastian, Gierk, Benjamin, Murray, Alexandra M., Löwe, Bernd
Format: Article
Language:English
Subjects:
Angina
Anxiety
Cardiovascular disease
Chest
Clinical trials
Coronary artery disease
coronary heart disease
Demography
depressive disorder
Heart diseases
Hypertension
Illnesses
Mental depression
Pain
Perception
prognosis
Quality of life
Questionnaires
Self destructive behavior
Suicidal ideation
vulnerability
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Summary:Background A high proportion of cardiac patients suffers from depression, which is an antecedent for suicidal ideation. This study identifies clinical vulnerabilities for suicidal ideation in cardiac patients. Methods The primary outcome of the study was severity of suicidal ideation as measured with the Patient Health Questionnaire (PHQ‐9) item No. 9. Covariates were demographics, cardiac characteristics (i.e., Canadian Cardiovascular Society angina rating of chest pain and New York Heart Association rating of shortness of breath), depression (PHQ‐8,i.e., PHQ‐9 minus item No. 9), anxiety (Generalized Anxiety Disorder‐7, GAD‐7), somatic symptoms (PHQ‐15), illness perception (Brief‐Illness Perception Questionnaire), and health‐related quality of life (EuroQol‐5D, EQ 5D). Results Data from 1,976 patients were analysed. At least 14% (95% CI [12%, 16%]) of patients indicated suicidal ideations within the last 2 weeks. Bivariate analyses yielded associations between suicidal ideation and higher levels of depression severity, anxiety severity, somatic symptom burden, chest pain, shortness of breath, negative illness perceptions, reduced health‐related quality of life, and a higher probability of living alone (all p 
ISSN:1063-3995
1099-0879
DOI:10.1002/cpp.2305