Cognitive impairment and depression symptoms are independently associated with suicidal ideation in US Veterans

被引:8
作者
Ryan, Arthur T. [1 ,2 ]
Phalen, Peter [1 ,2 ]
Jahn, Danielle R. [3 ]
Wastler, Heather [1 ]
Bennett, Melanie [1 ,2 ]
Ghahramanlou-Holloway, Marjan [4 ]
Schwartz, Barbara [5 ]
机构
[1] Vet Affairs VISN 5 Mental Illness Res Educ & Clin, Baltimore, MD USA
[2] Univ Maryland, Sch Med, Dept Psychiat, Baltimore, MD 21201 USA
[3] Orlando Vet Affairs Med Ctr, Mental Hlth Ctr Acute Recovery Empowerment, Orlando, FL USA
[4] Uniformed Serv Univ Hlth Sci, Dept Med & Clin Psychol, Suicide Care Prevent & Res Initiat, Bethesda, MD USA
[5] Washington DC Vet Affairs Med Ctr, Mental Hlth Serv, Washington, DC USA
关键词
Depression; Cognition; Suicidal ideation; SCALE;
D O I
10.1016/j.psychres.2020.112833
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Depression is associated with cognitive impairment and suicidality. The independent association between cognitive impairment and suicidality is less clear. We examined the relationship between suicidal ideation and cognitive impairment in a sample of 50 veterans with depressive disorder diagnoses. Using zero-inflated Poisson regression, the severity of suicidal ideation was negatively associated with attention (incidence rate ratio [IRR] = 0.78, p < .001), memory (IRR = 0.87, p < .001), and total cognition (IRR = 0.90, p = .007) index scores as measured by the Dementia Rating Scale 2 (DRS-2). These three indices continued to significantly predict suicidal ideation severity once depression symptoms were controlled for.
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页数:3
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