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Citation |
Fong CL, Shah SA, Maniam T. Suicidol. Online 2012; 3: 33-41. |
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Copyright |
(Copyright © 2012, The author(s), Publisher Medical University of Vienna, Department of Psychoanalysis and Psychotherapy) |
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DOI |
unavailable |
PMID |
unavailable |
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Abstract |
This study aims to determine the clinical and psychosocial predictors of suicidal ideation among depressed inpatients in a Malaysian sample. Seventy-five psychiatric inpatients with a depressive disorder according to the Structured Clinical Interview for DSM-IV Axis I Disorders-Clinical Version (SCID-CV) were assessed between May 2007 and December 2008 for the presence or absence of suicidal ideation, severity of suicidal ideation (Scale for Suicidal Ideation, SSI), severity of depression (Beck's Depression Inventory, BDI), recent life event changes (Social Readjustment Rating Scale, SRRS) and other relevant clinical and psychosocial factors. Suicidal ideation was present in 75% of subjects. Bivariate analysis showed that significant factors for suicidal ideation (p<0.05) were previous suicide attempt, current and previous alcohol abuse or dependence, current poly-substance abuse or dependence, any current substance use disorder, hopelessness, a change in sleep and social activities. Multivariate logistic regression showed that independent predictors of suicidal ideation were previous suicide attempt (OR=31.16, 95% CI=3.16-307.05), higher total scores of SSI (OR=1.58, 95% CI=1.15-2.18) and higher total scores of SRRS (OR=1.009, 95% CI 1.002-1.016). In a multi-ethnic, heterogeneous society, the known predictors of suicidal ideation among depressed inpatients i.e. previous suicide attempts, severity of suicidal ideation and possibly recent life events, are also applicable. The small sample size and urban tertiary locale limits the generalizability of these findings. Language: en |