TY - JOUR PY - 2024// TI - Clinicopathological determinants of suicidal thoughts and behavior in patients with post-stroke depression in South-West Nigeria JO - Journal of psychosomatic research A1 - Shofu-Akanji, Tomilola A1 - Ola, Bolanle A1 - Adeoye, Adefemi A1 - Olibamoyo, Olushola A1 - Adesina, Ismail A1 - Adegbaju, Dapo SP - e111688 EP - e111688 VL - 182 IS - N2 - OBJECTIVE: To evaluate the clinico-pathological determinants of suicidal thoughts and behavior in patients with post-stroke depression (PSD) in a teaching hospital in south-west Nigeria.

METHOD: A cross-sectional study was carried out in Lagos State University Teaching Hospital and it involved 89 consecutively selected outpatients with post-stroke depression (diagnosed using the depression module of Mini International Neuropsychiatric Inventory). Socio-demographic and clinical factors questionnaire, Mini-Mental State Examination, National Institute of Health Stroke Scale, and Beck Scale of Suicidal Ideation (BSSI) were administered to the participants. BSSI total score was used as a measure of suicidal thoughts. Ethical approval was obtained from the ethics and research committee of Lagos State University Teaching Hospital.

RESULT: Time since stroke (the time since onset of the most recent stroke) had a significant negative correlation with suicidal thoughts (r = -0.263, p = 0.013). In the same vein, the probability of attempting suicide significantly reduces with time since stroke, Odds Ratio = 0.925, p = 0.047.

CONCLUSION: Suicidal thoughts and behavior occur early in patients with post-stroke depression. The identification of shorter time since stroke as a correlate of suicidal thoughts and behavior among this patient population underscores the need for performing early assessment and prompt intervention for the at-risk individuals.

Language: en

LA - en SN - 0022-3999 UR - http://dx.doi.org/10.1016/j.jpsychores.2024.111688 ID - ref1 ER -