Article

OBJECTIVE: To determine unique associations of suicidal ideation (SI) and
lifetime suicide attempts (SAs) in individuals with spinal cord injury (SCI).
DESIGN: Cross-sectional analysis. SETTING: Outpatient. PARTICIPANTS: Individuals
with SCI (N=2533) who were 18 years or older with a history of traumatic SCI.
INTERVENTIONS: None. OUTCOME MEASURES: Any SI in the past 2 weeks (9-item
Patient Health Questionnaire) and any lifetime SA.
RESULTS: Three hundred
twenty-three individuals (13.3%) reported SI in the past 2 weeks and 179 (7.4%)
reported lifetime SA. After controlling for other factors, both lifetime SA and
current SI were associated with study site and current level of depression. In
addition, SA was associated with less education, younger age at injury, having
current or past treatment of depression, and having bipolar disorder or
schizophrenia. SI was associated with more years since injury and lifetime SA.
Several psychological factors were associated with current SI and lifetime SAs,
including lower environmental reward and less positive affect. In addition,
control of one's community activities and spiritual well-being were associated
with current SI. In bivariate comparisons, severity of SCI was also associated
with the 47% of the SAs that occurred after injury. CONCLUSIONS: Several unique
associations of SI and lifetime SA in individuals with SCI were identified,
including level of environmental reward and control, spiritual well-being, and
severity of SCI. These factors bear further investigation as prospective risk
factors for suicidal behavior after SCI.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS