• Arch Phys Med Rehabil · May 2015

    Novel risk factors associated with current suicidal ideation and lifetime suicide attempts in individuals with spinal cord injury.

    • Cheryl B McCullumsmith, Claire Z Kalpakjian, J Scott Richards, Martin Forchheimer, Allen W Heinemann, Elizabeth J Richardson, Catherine S Wilson, Jason Barber, Nancy Temkin, Charles H Bombardier, Jesse R Fann, and PRISMS Investigators.
    • Department of Psychiatry and Behavioral Neurobiology, University of Cincinnati, Cincinnati, OH; Spain Rehabilitation Center, University of Alabama at Birmingham, Birmingham, AL. Electronic address: cheryl.mccullumsmith@uc.edu.
    • Arch Phys Med Rehabil. 2015 May 1; 96 (5): 799-808.

    ObjectiveTo determine unique associations of suicidal ideation (SI) and lifetime suicide attempts (SAs) in individuals with spinal cord injury (SCI).DesignCross-sectional analysis.SettingOutpatient.ParticipantsIndividuals with SCI (N=2533) who were 18 years or older with a history of traumatic SCI.InterventionsNone.Main Outcome MeasuresAny SI in the past 2 weeks (9-item Patient Health Questionnaire) and any lifetime SA.ResultsThree hundred twenty-three individuals (13.3%) reported SI in the past 2 weeks and 179 (7.4%) reported lifetime SA. After controlling for other factors, both lifetime SA and current SI were associated with study site and current level of depression. In addition, SA was associated with less education, younger age at injury, having current or past treatment of depression, and having bipolar disorder or schizophrenia. SI was associated with more years since injury and lifetime SA. Several psychological factors were associated with current SI and lifetime SAs, including lower environmental reward and less positive affect. In addition, control of one's community activities and spiritual well-being were associated with current SI. In bivariate comparisons, severity of SCI was also associated with the 47% of the SAs that occurred after injury.ConclusionsSeveral unique associations of SI and lifetime SA in individuals with SCI were identified, including level of environmental reward and control, spiritual well-being, and severity of SCI. These factors bear further investigation as prospective risk factors for suicidal behavior after SCI.Copyright © 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…