TY - JOUR
PY - 2022//
TI - Suicidal ideation, post-traumatic stress disorder, and depression in traumatic spinal cord injury: what resilience tells us
JO - Journal of spinal cord medicine
A1 - Usta Sağlam, Nazife Gamze
A1 - Aksoy Poyraz, Cana
A1 - Doğan, Deniz
A1 - Erhan, Belgin
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - OBJECTIVE: Identification of unmet psychiatric needs, protective and risk factors for suicide are crucial for people with traumatic spinal cord injury (SCI). In this study, we aimed to explore depression, post-traumatic stress disorder (PTSD) status (non-PTSD, partial-PTSD, full-PTSD), resilience, suicidal ideation (SI) and to examine predictors and clinical correlates of current SI in traumatic SCI.
METHOD: Sixty-three individuals with traumatic SCI who were at least 3 months post-injury were included in the study. The participants were evaluated in terms of PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (PCL-5), depression, SI, and resilience using the PCL-5, the Patient Health Questionnaire-9, the Brief Resilience Scale, and sociodemographic measures.
RESULTS: 33% of our sample (n = 21) had SI over the past two weeks. 71.4% of the patients with SI (n = 15) had depression. A total of 52.4% of the patients with SI (n = 11) were diagnosed with full PTSD. Resilience was found to be significantly lower in individuals with depression and individuals with SI. While depression predicted SI in traumatic SCI, resilience stands as a protective factor against SI.
CONCLUSION: SI is quite common in individuals with traumatic SCI and is accompanied by substantial psychiatric comorbidities such as depression and PTSD. Along with depression and PTSD, resilience - which has protective and predictive values and is inversely associated with SI - constitutes a significant psychotherapeutic intervention and screening area.
Language: en
LA - en SN - 1079-0268 UR - http://dx.doi.org/10.1080/10790268.2022.2039856 ID - ref1 ER -