title: Suicidal Ideation is Associated with Limited Engagement in HIV Care.
abstract: PHQ-9 data from persons living with HIV (PLWH, n = 4099) being screened for depression in three clinics in the southeastern USA were used to determine the prevalence of suicidal ideation (SI). SI was reported by 352 (8.6 %); associated with <3 years since HIV diagnosis (1.69; 95 %CI 1.35, 2.13), and HIV RNA >50 copies/ml (1.70, 95 %CI 1.35, 2.14). Data from PLWH enrolled in a depression treatment study were used to determine the association between moderate-to-high risk SI (severity) and SI frequency reported on PHQ-9 screening. Over forty percent of persons reporting that SI occurred on "more than half the days" (by the PHQ-9) were assessed as having a moderate-to-high risk for suicide completion during the Mini International Neuropsychiatric Interview. SI, including moderate-to-high risk SI, remains a significant comorbid problem for PLWH who are not fully stabilized in care (as indicated by detectable HIV RNA or HIV diagnosis for less than 3 years).
authors.affiliation: Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill, 103 Wild Turkey Trail, Chapel Hill, NC, 27516-9041, USA. ebq@med.unc.edu.|Center for AIDS Research, University of North Carolina at Chapel Hill, 103 Wild Turkey Trail, Chapel Hill, NC, 27516-9041, USA. ebq@med.unc.edu.
authors.forename: E Byrd
authors.initials: EB
authors.lastname: Quinlivan
authors.affiliation: Center for AIDS Research, University of North Carolina at Chapel Hill, 103 Wild Turkey Trail, Chapel Hill, NC, 27516-9041, USA.|Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
authors.forename: Bradley N
authors.initials: BN
authors.lastname: Gaynes
authors.affiliation: Department of Epidemiology, Gillings School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
authors.forename: Jennifer S
authors.initials: JS
authors.lastname: Lee
authors.affiliation: Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill, 103 Wild Turkey Trail, Chapel Hill, NC, 27516-9041, USA.
authors.forename: Amy D
authors.initials: AD
authors.lastname: Heine
authors.affiliation: Departments of Psychiatry and Behavioral Sciences and Medicine, Duke University, Durham, NC, USA.
authors.forename: Kristen
authors.initials: K
authors.lastname: Shirey
authors.affiliation: Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill, 103 Wild Turkey Trail, Chapel Hill, NC, 27516-9041, USA.
authors.forename: Malaika
authors.initials: M
authors.lastname: Edwards
authors.affiliation: Department of Medicine, University of Alabama - Birmingham, Birmingham, AL, USA.
authors.forename: Riddhi
authors.initials: R
authors.lastname: Modi
authors.affiliation: Department of Medicine, University of Alabama - Birmingham, Birmingham, AL, USA.
authors.forename: James
authors.initials: J
authors.lastname: Willig
authors.affiliation: Center for AIDS Research, University of North Carolina at Chapel Hill, 103 Wild Turkey Trail, Chapel Hill, NC, 27516-9041, USA.|Department of Epidemiology, Gillings School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
authors.forename: Brian W
authors.initials: BW
authors.lastname: Pence
mesh_terms: D000328:Adult; D015897:Comorbidity; D003863:Depression / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D003866:Depressive Disorder / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D005260:Female; D015658:HIV Infections / Q000188:drug therapy / Q000523:psychology; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D059020:Suicidal Ideation; D013405:Suicide / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology
keywords: Depression; HIV; Linkage to care; PHQ-9; Retention in care; Suicide