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I would be better off dead: investigating suicidal ideation in people with epilepsy

BACKGROUND: It is known that the risk of suicidal behavior in adult people with epilepsy (PWEs) is high. However, the associated clinical and psychosocial factors are still being discussed. OBJECTIVE: To assess the risk of suicide in PWEs and relate it to resilience and quality of life (QoL) as well...

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Autores principales: Tedrus, Gloria Maria de Almeida Souza, de Souza, Daniela de Carvalho Mendonça
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Academia Brasileira de Neurologia - ABNEURO 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9685829/
https://www.ncbi.nlm.nih.gov/pubmed/36254445
http://dx.doi.org/10.1055/s-0042-1755230
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author Tedrus, Gloria Maria de Almeida Souza
de Souza, Daniela de Carvalho Mendonça
author_facet Tedrus, Gloria Maria de Almeida Souza
de Souza, Daniela de Carvalho Mendonça
author_sort Tedrus, Gloria Maria de Almeida Souza
collection PubMed
description BACKGROUND: It is known that the risk of suicidal behavior in adult people with epilepsy (PWEs) is high. However, the associated clinical and psychosocial factors are still being discussed. OBJECTIVE: To assess the risk of suicide in PWEs and relate it to resilience and quality of life (QoL) as well as with clinical variables. METHODS: The item “I’d be better off dead” of the Neurological Disorders Depression Inventory for Epilepsy (NDDI-E) was related to the resilience scale, clinical aspects, the presence of depression, and the Quality of Life in Epilepsy Inventory (QOLIE-31) scores of PWEs, with a p < 0.05. RESULTS: A total of 271 PWEs were assessed, 50.6% were female, with a mean age of 46.6 (± 15.8) years, and a mean age at 1st seizure of 24.1 (± 18.5) years. Risk for suicide occurred in 50 (19.3%) cases. In multiple logistic regression, the factors that explain the risk of suicide were female sex, depression, and lower scores on the QOLIE-31 and on the resilience scale. In the classification and regression trees, the order of importance of the variables was depression > resilience > age > QoL > age at 1st seizure. CONCLUSION: The risk of suicide was high, and it was associated with demographic aspects, clinical variables, QoL, and resilience. A higher risk of suicide was associated with lower resilience regardless of the presence or absence of depression. In the presence of depression, a higher risk of suicide was associated with the early onset of epilepsy. In the absence of depression, the risk of suicide was associated with low QoL in young adults.
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spelling pubmed-96858292022-12-08 I would be better off dead: investigating suicidal ideation in people with epilepsy Tedrus, Gloria Maria de Almeida Souza de Souza, Daniela de Carvalho Mendonça Arq Neuropsiquiatr Original Article BACKGROUND: It is known that the risk of suicidal behavior in adult people with epilepsy (PWEs) is high. However, the associated clinical and psychosocial factors are still being discussed. OBJECTIVE: To assess the risk of suicide in PWEs and relate it to resilience and quality of life (QoL) as well as with clinical variables. METHODS: The item “I’d be better off dead” of the Neurological Disorders Depression Inventory for Epilepsy (NDDI-E) was related to the resilience scale, clinical aspects, the presence of depression, and the Quality of Life in Epilepsy Inventory (QOLIE-31) scores of PWEs, with a p < 0.05. RESULTS: A total of 271 PWEs were assessed, 50.6% were female, with a mean age of 46.6 (± 15.8) years, and a mean age at 1st seizure of 24.1 (± 18.5) years. Risk for suicide occurred in 50 (19.3%) cases. In multiple logistic regression, the factors that explain the risk of suicide were female sex, depression, and lower scores on the QOLIE-31 and on the resilience scale. In the classification and regression trees, the order of importance of the variables was depression > resilience > age > QoL > age at 1st seizure. CONCLUSION: The risk of suicide was high, and it was associated with demographic aspects, clinical variables, QoL, and resilience. A higher risk of suicide was associated with lower resilience regardless of the presence or absence of depression. In the presence of depression, a higher risk of suicide was associated with the early onset of epilepsy. In the absence of depression, the risk of suicide was associated with low QoL in young adults. Academia Brasileira de Neurologia - ABNEURO 2022-11-21 /pmc/articles/PMC9685829/ /pubmed/36254445 http://dx.doi.org/10.1055/s-0042-1755230 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons AttributionNoncommercial No Derivative License, which permits unrestricted noncommercial use, distribution, and reproduction in any medium provided the original work is properly cited and the work is not changed in any way.
spellingShingle Original Article
Tedrus, Gloria Maria de Almeida Souza
de Souza, Daniela de Carvalho Mendonça
I would be better off dead: investigating suicidal ideation in people with epilepsy
title I would be better off dead: investigating suicidal ideation in people with epilepsy
title_full I would be better off dead: investigating suicidal ideation in people with epilepsy
title_fullStr I would be better off dead: investigating suicidal ideation in people with epilepsy
title_full_unstemmed I would be better off dead: investigating suicidal ideation in people with epilepsy
title_short I would be better off dead: investigating suicidal ideation in people with epilepsy
title_sort i would be better off dead: investigating suicidal ideation in people with epilepsy
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9685829/
https://www.ncbi.nlm.nih.gov/pubmed/36254445
http://dx.doi.org/10.1055/s-0042-1755230
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