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Exploring potential associations of suicidal ideation and ideas of self-harm in patients with congestive heart failure.
Depress Anxiety. 2009; 26(8):764-8.DA

Abstract

OBJECTIVE

To determine the factors, which are associated with suicidal ideation and ideas of self-harm in patients with congestive heart failure (CHF).

METHODS

We examined 294 patients with documented CHF, New York Heart Association (NYHA) functional class II-IV, in a cross sectional study at three cardiac outpatient departments. Measures included self-reports of suicidal ideation and self-harm (PHQ-9), depression (SCID), health-related quality of life (SF-36), multimorbidity (CIRS-G), consumption of alcoholic beverages, as well as comprehensive clinical status. Data were analyzed using logistic regression analyses.

RESULTS

50 patients (17.1%) reported experiencing suicidal ideation and/or ideas of self-harm on at least several days over the past two weeks. The final regression model revealed significant associations with health-related quality of life, physical component (odds ratio [OR] 0.56; 95% confidence interval [CI]: 0.35-0.91), and mental component (OR 0.50; 95% CI: 0.31-0.82), consumption of alcoholic beverages (OR 1.27; 95% CI: 1.05-1.54), first-episode depression (OR 3.92; 95% CI: 1.16-13.22), and lifetime depression (OR 10.89; 95% CI: 2.49-47.72). Age was only significant in the univariable (P=.03) regression analysis. NYHA functional class, left ventricular ejection fraction (LVEF), etiology of CHF, medication, cardiovascular interventions, multimorbidity, gender, and living situation were not significantly associated with suicidal ideation or ideas of self-harm.

CONCLUSIONS

Lifetime depression, in particular, increases the risk of suicidal ideation and ideas of self-harm in CHF patients. Furthermore, the findings of our study underline the necessity of differentiating between first-episode and lifetime depression in CHF-patients in future research and clinical practice.

Authors+Show Affiliations

Department of Psychosomatic and General Internal Medicine, Medical Hospital, University of Heidelberg, Heidelberg, Germany. Nicole_Lossnitzer@med.uni-heidelberg.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19658120

Citation

Lossnitzer, Nicole, et al. "Exploring Potential Associations of Suicidal Ideation and Ideas of Self-harm in Patients With Congestive Heart Failure." Depression and Anxiety, vol. 26, no. 8, 2009, pp. 764-8.
Lossnitzer N, Müller-Tasch T, Löwe B, et al. Exploring potential associations of suicidal ideation and ideas of self-harm in patients with congestive heart failure. Depress Anxiety. 2009;26(8):764-8.
Lossnitzer, N., Müller-Tasch, T., Löwe, B., Zugck, C., Nelles, M., Remppis, A., Haass, M., Rauch, B., Jünger, J., Herzog, W., & Wild, B. (2009). Exploring potential associations of suicidal ideation and ideas of self-harm in patients with congestive heart failure. Depression and Anxiety, 26(8), 764-8. https://doi.org/10.1002/da.20587
Lossnitzer N, et al. Exploring Potential Associations of Suicidal Ideation and Ideas of Self-harm in Patients With Congestive Heart Failure. Depress Anxiety. 2009;26(8):764-8. PubMed PMID: 19658120.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Exploring potential associations of suicidal ideation and ideas of self-harm in patients with congestive heart failure. AU - Lossnitzer,Nicole, AU - Müller-Tasch,Thomas, AU - Löwe,Bernd, AU - Zugck,Christian, AU - Nelles,Manfred, AU - Remppis,Andrew, AU - Haass,Markus, AU - Rauch,Bernhard, AU - Jünger,Jana, AU - Herzog,Wolfgang, AU - Wild,Beate, PY - 2009/8/7/entrez PY - 2009/8/7/pubmed PY - 2009/11/17/medline SP - 764 EP - 8 JF - Depression and anxiety JO - Depress Anxiety VL - 26 IS - 8 N2 - OBJECTIVE: To determine the factors, which are associated with suicidal ideation and ideas of self-harm in patients with congestive heart failure (CHF). METHODS: We examined 294 patients with documented CHF, New York Heart Association (NYHA) functional class II-IV, in a cross sectional study at three cardiac outpatient departments. Measures included self-reports of suicidal ideation and self-harm (PHQ-9), depression (SCID), health-related quality of life (SF-36), multimorbidity (CIRS-G), consumption of alcoholic beverages, as well as comprehensive clinical status. Data were analyzed using logistic regression analyses. RESULTS: 50 patients (17.1%) reported experiencing suicidal ideation and/or ideas of self-harm on at least several days over the past two weeks. The final regression model revealed significant associations with health-related quality of life, physical component (odds ratio [OR] 0.56; 95% confidence interval [CI]: 0.35-0.91), and mental component (OR 0.50; 95% CI: 0.31-0.82), consumption of alcoholic beverages (OR 1.27; 95% CI: 1.05-1.54), first-episode depression (OR 3.92; 95% CI: 1.16-13.22), and lifetime depression (OR 10.89; 95% CI: 2.49-47.72). Age was only significant in the univariable (P=.03) regression analysis. NYHA functional class, left ventricular ejection fraction (LVEF), etiology of CHF, medication, cardiovascular interventions, multimorbidity, gender, and living situation were not significantly associated with suicidal ideation or ideas of self-harm. CONCLUSIONS: Lifetime depression, in particular, increases the risk of suicidal ideation and ideas of self-harm in CHF patients. Furthermore, the findings of our study underline the necessity of differentiating between first-episode and lifetime depression in CHF-patients in future research and clinical practice. SN - 1520-6394 UR - https://www.unboundmedicine.com/medline/citation/19658120/Exploring_potential_associations_of_suicidal_ideation_and_ideas_of_self_harm_in_patients_with_congestive_heart_failure_ L2 - https://doi.org/10.1002/da.20587 DB - PRIME DP - Unbound Medicine ER -