title: Suicidality in AIDS long-term survivors: what is the evidence?
abstract: This study was designed to investigate suicidal ideation and attempts, thoughts about living and dying, and the maintenance, diminution and loss of hope in a sample of long-term AIDS survivors. The study sample consisted of 53 gay men enrolled as clients at Gay Mens Health Crisis in New York City who had had an AIDS-defining opportunistic infection at least 3 years prior to study entry. Despite the experience of protracted biological stress associated with life-threatening illness and the psychological stress of living with AIDS, we found low rates of current syndromal mood disorders (6%) or psychiatric distress. While thoughts about death and wishes to die were reported by a significant portion of men, they were context-specific, occurring almost exclusively during serious illness, often accompanied by severe pain or at times of bereavement. Only two men had made a suicide attempt after being diagnosed with AIDS and both had a history of prior (pre-AIDS) suicide attempts. While anger was a prominent affect, hopelessness was not. Overall, we found a high level of positive psychological health independent of HIV illness stage or degree of illness-induced physical limitation.
authors.affiliation: New York State Psychiatric Institute, NY 10032.
authors.forename: J G
authors.initials: JG
authors.lastname: Rabkin
authors.forename: R
authors.initials: R
authors.lastname: Remien
authors.forename: L
authors.initials: L
authors.lastname: Katoff
authors.forename: J B
authors.initials: JB
authors.lastname: Williams
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000523:psychology*; D000223:Adaptation, Psychological; D000328:Adult; D001293:Attitude to Death; D003419:Crisis Intervention; D003866:Depressive Disorder / Q000150:complications / Q000523:psychology; D006679:HIV Seropositivity / Q000523:psychology; D006716:Homosexuality / Q000523:psychology; D006801:Humans; D008297:Male; D009519:New York City; D010552:Personality Assessment; D012307:Risk Factors; D012803:Sick Role; D013405:Suicide / Q000523:psychology*; D013406:Suicide, Attempted / Q000517:prevention & control / Q000523:psychology; D000092864:Suicide Prevention