PMID- 19658120
OWN - NLM
STAT- MEDLINE
DCOM- 20091116
LR  - 20151119
IS  - 1520-6394 (Electronic)
IS  - 1091-4269 (Linking)
VI  - 26
IP  - 8
DP  - 2009
TI  - Exploring potential associations of suicidal ideation and ideas of self-harm in 
      patients with congestive heart failure.
PG  - 764-8
LID - 10.1002/da.20587 [doi]
AB  - OBJECTIVE: To determine the factors, which are associated with suicidal ideation 
      and ideas of self-harm in patients with congestive heart failure (CHF). METHODS: 
      We examined 294 patients with documented CHF, New York Heart Association (NYHA) 
      functional class II-IV, in a cross sectional study at three cardiac outpatient 
      departments. Measures included self-reports of suicidal ideation and self-harm 
      (PHQ-9), depression (SCID), health-related quality of life (SF-36), 
      multimorbidity (CIRS-G), consumption of alcoholic beverages, as well as 
      comprehensive clinical status. Data were analyzed using logistic regression 
      analyses. RESULTS: 50 patients (17.1%) reported experiencing suicidal ideation 
      and/or ideas of self-harm on at least several days over the past two weeks. The 
      final regression model revealed significant associations with health-related 
      quality of life, physical component (odds ratio [OR] 0.56; 95% confidence 
      interval [CI]: 0.35-0.91), and mental component (OR 0.50; 95% CI: 0.31-0.82), 
      consumption of alcoholic beverages (OR 1.27; 95% CI: 1.05-1.54), first-episode 
      depression (OR 3.92; 95% CI: 1.16-13.22), and lifetime depression (OR 10.89; 95% 
      CI: 2.49-47.72). Age was only significant in the univariable (P=.03) regression 
      analysis. NYHA functional class, left ventricular ejection fraction (LVEF), 
      etiology of CHF, medication, cardiovascular interventions, multimorbidity, 
      gender, and living situation were not significantly associated with suicidal 
      ideation or ideas of self-harm. CONCLUSIONS: Lifetime depression, in particular, 
      increases the risk of suicidal ideation and ideas of self-harm in CHF patients. 
      Furthermore, the findings of our study underline the necessity of differentiating 
      between first-episode and lifetime depression in CHF-patients in future research 
      and clinical practice.
CI  - (c) 2009 Wiley-Liss, Inc.
FAU - Lossnitzer, Nicole
AU  - Lossnitzer N
AD  - Department of Psychosomatic and General Internal Medicine, Medical Hospital, 
      University of Heidelberg, Heidelberg, Germany. 
      Nicole_Lossnitzer@med.uni-heidelberg.de
FAU - Muller-Tasch, Thomas
AU  - Muller-Tasch T
FAU - Lowe, Bernd
AU  - Lowe B
FAU - Zugck, Christian
AU  - Zugck C
FAU - Nelles, Manfred
AU  - Nelles M
FAU - Remppis, Andrew
AU  - Remppis A
FAU - Haass, Markus
AU  - Haass M
FAU - Rauch, Bernhard
AU  - Rauch B
FAU - Junger, Jana
AU  - Junger J
FAU - Herzog, Wolfgang
AU  - Herzog W
FAU - Wild, Beate
AU  - Wild B
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Depress Anxiety
JT  - Depression and anxiety
JID - 9708816
SB  - IM
MH  - Age Factors
MH  - Aged
MH  - Alcohol Drinking/psychology
MH  - Comorbidity
MH  - Cross-Sectional Studies
MH  - Depressive Disorder/diagnosis/psychology
MH  - Female
MH  - Heart Failure/*psychology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Quality of Life/psychology
MH  - Risk Factors
MH  - Self-Injurious Behavior/*psychology
MH  - Sick Role
MH  - Suicide/*psychology
MH  - Suicide, Attempted/*psychology
MH  - Surveys and Questionnaires
MH  - Ventricular Dysfunction, Left/psychology
EDAT- 2009/08/07 09:00
MHDA- 2009/11/17 06:00
CRDT- 2009/08/07 09:00
PHST- 2009/08/07 09:00 [entrez]
PHST- 2009/08/07 09:00 [pubmed]
PHST- 2009/11/17 06:00 [medline]
AID - 10.1002/da.20587 [doi]
PST - ppublish
SO  - Depress Anxiety. 2009;26(8):764-8. doi: 10.1002/da.20587.