Suicide risk and psychiatric comorbidity in patients with psoriasis.
OBJECTIVE
To examine the occurrence of stressful life events, psychological comorbidity and suicide risk in patients with psoriasis or other dermatological conditions.


METHODS
Consecutive adult outpatients with psoriasis or other dermatological conditions completed a sociodemographic questionnaire and the Hamilton scales for depression and anxiety.


RESULTS
The study included 157 patients (91 with psoriasis; 66 with other conditions [melanoma; allergy]). Patients with psoriasis were significantly more likely to have experienced major life events in the 12 months before diagnosis, have had a psychiatric diagnosis and to have experienced past suicidal ideation than patients with other dermatological conditions.


CONCLUSIONS
Patients with psoriasis have an increased risk of psychiatric comorbidities, suicidal ideation, and long-term course of the disease compared with patients who have other dermatological conditions. Psychiatric assessment is highly recommended in patients with psoriasis.
Department of Neurosciences, Mental Health and Sensory Organs, Suicide Prevention Centre, S.Andrea Hospital, University of Rome "La Sapienza", Rome, Italy.
Maurizio
M
Pompili
Department of Human Sciences, European University of Rome, Rome, Italy.
Marco
M
Innamorati
Department of Neurosciences, Mental Health and Sensory Organs, Suicide Prevention Centre, S.Andrea Hospital, University of Rome "La Sapienza", Rome, Italy.
Sara
S
Trovarelli
Dermatology Unit, Department of Neurosciences, Mental Health and Sensory Organs, University of Rome "La Sapienza", Rome, Italy.
Alessandra
A
Narcisi
Department of Neurosciences, Mental Health and Sensory Organs, Suicide Prevention Centre, S.Andrea Hospital, University of Rome "La Sapienza", Rome, Italy.
Samantha
S
Bellini
Dermatology Unit, Department of Neurosciences, Mental Health and Sensory Organs, University of Rome "La Sapienza", Rome, Italy.
Diego
D
Orsini
Department of Neurosciences, Mental Health and Sensory Organs, Suicide Prevention Centre, S.Andrea Hospital, University of Rome "La Sapienza", Rome, Italy.
Alberto
A
Forte
Dermatology Unit, Department of Neurosciences, Mental Health and Sensory Organs, University of Rome "La Sapienza", Rome, Italy.
Denise
D
Erbuto
Dermatology Unit, Department of Neurosciences, Mental Health and Sensory Organs, University of Rome "La Sapienza", Rome, Italy.
Elisabetta
E
Botti
Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.
Dorian A
DA
Lamis
Department of Neurosciences, Mental Health and Sensory Organs, Suicide Prevention Centre, S.Andrea Hospital, University of Rome "La Sapienza", Rome, Italy.
Paolo
P
Girardi
Dermatology Unit, Department of Neurosciences, Mental Health and Sensory Organs, University of Rome "La Sapienza", Rome, Italy antonio.costanzo@uniroma1.it.
Antonio
A
Costanzo
Anxiety; depression; dermatological diseases; health-related quality-of-life; psoriasis; stress; suicidal ideation
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