title: A study of suicidal ideation in acute ischemic stroke patients.
abstract: BACKGROUND
  Increasing evidences indicate that stroke confers a substantial risk for suicidal ideation. The aim of this study was to identify risk factors of suicidal ideation in acute ischemic stroke patients.
  
  
  METHODS
  A total of 271 consecutive patients with acute ischemic stroke were recruited in Huai-He hospital or the First People's Hospital, Kaifeng City, China. Demographic and clinical variables were collected and evaluated. Suicidal ideation was assessed using the Beck Scale for Suicide Ideation (BSI). Multivariate logistic regression was applied to determine the risk factors of suicidal ideation.
  
  
  RESULTS
  Suicidal ideation was identified in 29 patients (10.7%). It was more frequent in patients who lived in rural region, with pre-/post-stroke depression or diabetes, had a higher NIHSS score, had no confidence in disease treatment, or had a poor coping style. Living in rural region (OR 2.59, 95% CI 1.02-6.58), the presence of pre-stroke depression (OR 11.74, 95% CI 4.45-31.01), stroke severity (OR 1.20, 95% CI 1.08-1.33), having no confidence in disease treatment (OR 14.70, 95% CI 2.60-83.15), and post-stroke depression (OR 16.22, 95% CI 6.40-41.10) were independent risk factors of suicidal ideation.
  
  
  CONCLUSIONS
  Several factors may be associated with an increased risk of suicidal ideation in acute ischemic stroke patients, including pre-/post-stroke depression, more severe stroke, having no confidence in treatment, as well as living in rural region. Our findings may have implication in risk assessment and intervention for acute ischemic stroke patients in reducing the burdens of suicidal ideation.
authors.affiliation: Institute of Public Health, School of Nursing, Henan University, Jinming Campus, Kaifeng, HN, China, 475004. jindou90414@163.com.
authors.forename: Jin
authors.initials: J
authors.lastname: Dou
authors.affiliation: Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangzhou, China. gytanjie@163.com.
authors.forename: Jie
authors.initials: J
authors.lastname: Tang
authors.affiliation: Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangzhou, China. chuhong78@163.com.
authors.forename: Chu-Hong
authors.initials: CH
authors.lastname: Lu
authors.affiliation: Institute of Public Health, School of Nursing, Henan University, Jinming Campus, Kaifeng, HN, China, 475004. 66140817@qq.com.
authors.forename: En-She
authors.initials: ES
authors.lastname: Jiang
authors.affiliation: Institute of Public Health, School of Nursing, Henan University, Jinming Campus, Kaifeng, HN, China, 475004. peixi001@163.com.|Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangzhou, China. peixi001@163.com.
authors.forename: Pei-Xi
authors.initials: PX
authors.lastname: Wang
mesh_terms: D000368:Aged; D001294:Attitude to Health; D002681:China / Q000453:epidemiology; D015897:Comorbidity; D003863:Depression / Q000453:epidemiology; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000453:epidemiology; D011788:Quality of Life; D012307:Risk Factors; D012424:Rural Population / Q000706:statistics & numerical data; D020521:Stroke / Q000453:epidemiology* / Q000523:psychology; D059020:Suicidal Ideation; D014505:Urban Population / Q000706:statistics & numerical data