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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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