Factors associated with suicide ideation among medically and surgically hospitalized patients.
OBJECTIVE
To identify the factors associated with suicide ideation among medically and surgically hospitalized patients.


METHODS
A consecutive sample of 4328 individuals admitted to a general hospital completed a screening questionnaire comprised of demographic and clinical information, the Mini International Neuropsychiatric Interview item on current suicide ideation, the Hospital Anxiety and Depression Scale subscale for depression and the Alcohol use Disorder Identification Test. A multiple logistic regression produced a discriminate profile of individuals with suicide ideation.


RESULTS
The prevalence rate for current suicide ideation was 4.9% (95% CI: 4.3-5.6). Patients admitted to the Infectious Disease, Oncology and Hematology units presented higher rates of suicide ideation (7.9%, 7.8% and 7.2%, respectively). Suicidal ideation was associated to depression [odds ratio (OR)=8.3], young age (18-35 years old: OR=2.5), alcohol use disorders (OR=2.3), and smoking (OR=1.8).


CONCLUSIONS
Suicidal ideation was consistently associated with indicators of mental disorders. It is proxy, not for completed suicide, but for a variety of common psychiatric conditions that can and should be dealt with in the medical/surgical setting.
Botega
Neury José
NJ
Department of Psychiatry, Medical Sciences Faculty, Universidade Estadual de Campinas, Campinas, SP 13081-970, Brazil. botega@fcm.unicamp.br
de Azevedo
Renata Cruz Soares
RC
Mauro
Marisa Lúcia Fabrício
ML
Mitsuushi
Gabriela Nero
GN
Fanger
Priscila Caroline
PC
Lima
Daniela Dantas
DD
Gaspar
Karla Cristina
KC
da Silva
Viviane Franco
VF
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D019973:Alcohol-Related Disorders / Q000523:psychology; D003863:Depression / Q000523:psychology; D005260:Female; D006760:Hospitalization; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D011569:Psychiatric Status Rating Scales; D012907:Smoking / Q000523:psychology; D013405:Suicide / Q000523:psychology*; D013514:Surgical Procedures, Operative / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult