title: Suicidal ideation in psoriasis.
abstract: BACKGROUND
  Psoriasis has been associated with depressive disease and case reports of completed suicide.
  
  
  METHODS
  217 consenting psoriasis patients completed the Carroll Rating Scale for Depression (CRSD), a 52-item self-rated scale, with four of the items directly addressing wishes to be dead and suicidal ideation. The patients also self-rated the severity of their psoriasis.
  
  
  RESULTS
  9.7% of patients reported a wish to be dead, and 5.5% reported active suicidal ideation at the time of the study. The death wish and suicidal ideation were associated with higher depression scores (P < 0.0001) and higher patient self-ratings of psoriasis severity (P < 0.05). Patient self-reports of psoriasis severity correlated directly with the overall depression scores (r = 0.39), P < 0.0001).
  
  
  CONCLUSIONS
  The comorbidity between depressive symptoms, suicidal ideation, and psoriasis severity is in contrast with reports that severe depression and suicidal ideation are mainly a feature of life-threatening medical disorders such as malignancies. Our finding may have important implications in the management of psoriasis.
authors.affiliation: Department of Psychiatry, University of Michigan Medical School, Ann Arbor.
authors.forename: M A
authors.initials: MA
authors.lastname: Gupta
authors.forename: N J
authors.initials: NJ
authors.lastname: Schork
authors.forename: A K
authors.initials: AK
authors.lastname: Gupta
authors.forename: S
authors.initials: S
authors.lastname: Kirkby
authors.forename: C N
authors.initials: CN
authors.lastname: Ellis
mesh_terms: D000328:Adult; D001294:Attitude to Health; D003863:Depression / Q000175:diagnosis / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011565:Psoriasis / Q000473:pathology / Q000523:psychology*; D013405:Suicide