• Melissa Deanna Shepard, Kate Perepezko, BroenMartijn P GMPGDepartment of Neurology, Maastricht University Medical Centre, Maastricht, The Netherlands., Jared Thomas Hinkle, Ankur Butala, Kelly A Mills, Julie Nanavati, Nicole Mercado Fischer, Paul Nestadt, and Gregory Pontone.
• Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA mshepar6@jhmi.edu.
• J. Neurol. Neurosurg. Psychiatr. 2019 Jul 1; 90 (7): 822829822-829.

AbstractPersons with Parkinson's disease (PwP) have many known risk factors for suicide and suicidal ideation (SI). Despite this, there is limited understanding of suicidality in this population. We conducted a systematic review to synthesise the available literature on suicidality in PwP and highlight areas for potential intervention and further research. We identified 116 articles discussing SI, suicidal behaviours, suicide attempts and/or fatal suicide in PwP. These articles describe prevalence, suicide methods, risk factors for suicide and SI and treatment of suicidality. In this review, we summarise the current literature and provide suggestions for how clinicians can identify and treat PwP who are at risk for suicide, for example, through aggressive treatment of depression and improved screening for access to lethal means.© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.

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