Journal of Behavioral Medicine

, Volume 28, Issue 2, pp 149–156 | Cite as

Suicidal Ideation and Attempted Suicide Among Women Living With HIV/AIDS

  • Nina A. CoopermanEmail author
  • Jane M. Simoni


The prevalence, timing, and predictors of suicidal ideation and attempted suicide were evaluated in a sample of 207 HIV-positive women in New York City. Twenty-six percent of the women reported attempting suicide since their HIV diagnosis. Of those who made an attempt, 42% acted within the first month after diagnosis and 27% acted within the first week. AIDS diagnosis, psychiatric symptoms, and physical or sexual abuse were significant positive predictors of both suicidal ideation and attempts. Contrary to expectations, having children and being employed were also significant positive predictors. Spirituality was significantly negatively associated with suicidal ideation only. These results suggest that suicide prevention measures should be implemented for HIV-positive women immediately after diagnosis. Specifically, interventions should target those with an AIDS diagnosis, psychiatric symptoms, an abuse history, children, or employment. The encouragement of spiritual connection seems to be a deterrent to suicidal thoughts and is a possible avenue for intervention.

suicide HIV AIDS women 


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  1. Alfonso, C., and Cohen, M. (1994). HIV-dementia and suicide. Gen. Hosp. Psychiatry 16: 45–46.Google Scholar
  2. Allers, B., Benjack, K., White, J., and Rousey, J. (1993). HIV vulnerability and the adult survivor of childhood sexual abuse. Child Abuse Negl. 17: 291–298.Google Scholar
  3. Antle, B., Wells, L., Goldie, R., DeMatteo, D., and King, S. (2001). Challenges of parenting for families living with HIV/AIDS. Soc. Work 46(2): 159–169.Google Scholar
  4. Baca-Garcia, E., Diaz-Sastre, C., Basurte, E., Prieto, R., Ceverino, A., Saiz-Ruiz, J., and de Leon, J. (2001). A prospective study of the paradoxical relationship between impulsivity and lethality of suicide attempts. J. Clin. Psychiatry 62(7): 560–564.Google Scholar
  5. Bellini, M., and Bruschi, C. (1996). HIV infection and suicidality. J. Affect. Disord. 38: 153–164.Google Scholar
  6. Boudewyn, A., and Liem, J. (1995). Childhood sexual abuse as a precursor to depression and self-destructive behavior in adulthood. J. Trauma. Stress 8(3): 445–459.Google Scholar
  7. Brady, S., Gallagher, D., Berger, J., and Vega, M. (2002). Physical and sexual abuse in the lives of HIV-positive women enrolled in a primary medicine health maintenance organization. AIDS Patient Care STDs 16(3): 121–125.Google Scholar
  8. Brown, G., and Rundell, J. (1989). Suicidal tendencies in women with human immunodeficiency virus infection. Am. J. Psychiatry 146(4): 556–557.Google Scholar
  9. Cavenar, J., Spaulding, J., and Hammett, E. (1976). Anniversary reactions. Psychosomatics 12: 210–212.Google Scholar
  10. Cooperman, N., and Simoni, J. (2003). Abuse, social support, and depression among heterosexual, bisexual, and lesbian HIV+ women. J. Lesbian Stud. 7(4): 49–66.Google Scholar
  11. Davis, R. (1981). Female labor force participation, status integration, and suicide, 1950–1969. Suicide Life Threat. Behav. 11(2): 111–123.Google Scholar
  12. Derogatis, L., and Melisaratos, N. (1983). The Brief Symptom Inventory: An introductory report. Psychol. Med. 13(3): 595–605.Google Scholar
  13. Eagles, J., Carson, D., Begg, A., and Naji, S. (2003). Suicide prevention: A study of patients’ views. Br. J. Psychiatry 182: 261–265.Google Scholar
  14. Ferreira de Castro, E., Pimenta, F., and Martins, I. (1988). Female independence in Portugal. Acta Psychiatr. Scand. 78: 147–155.Google Scholar
  15. Fuller, R., Lee, K., and Gordis, E. (1988). Validity of self-report in alcoholism research: Results of a Veterans Administration Cooperative Study. Alcohol Clin. Exp. Res. 12(2): 201–205.Google Scholar
  16. Gunnell, D., Lopatatzidis, A., Dorling, D., Wehner, H., Southall, H., and Frankel, S. (1999). Suicide and unemployment. Br. J. Psychiatry 175: 263–270.Google Scholar
  17. Haller, D., and Miles, D. (2003). Suicidal ideation among psychiatric patients with HIV: Psychiatric morbidity and quality of life. AIDS Behav. 7(2): 101–108.Google Scholar
  18. Harkavy Friedman, J., and Asnis, G. (1989). Assessment of suicidal behavior: A new instrument. Psychiatr. Ann. 19(7): 382–387.Google Scholar
  19. Hoyer, G., and Lund, E. (1993). Suicide among women related to number of children in marriage. Arch. Gen. Psychiatry 50: 134–137.Google Scholar
  20. Kelly, B., Raphael, B., Judd, F., Kernutt, G., Burnett, P., and Burrows, G. (1998). Suicidal ideation, suicide attempts, and HIV infection. Psychosomatics 39(5): 405–415.Google Scholar
  21. Kessler, R., Borges, G., and Walters, E. (1999). Prevalence and risk factors for lifetime suicide attempts in the national comorbidity survey. Arch. Gen. Psychiatry 56(7): 617–626.Google Scholar
  22. Komiti, A., Judd, F., Grech, P., Mijch, A., Hoy, J., Lloyd, J., and Street, A. (2001). Suicidal behavior in people with HIV/AIDS: A review. Aust. N.Z. J. Psychiatry 35: 747–757.Google Scholar
  23. Kuo, W., Gallo, J., and Tien, A. (2001). Incidence of suicide ideation and attempts in adults: The 13-year follow-up of a community sample in Baltimore, Maryland. Psychol. Med. 31: 1181–1191.Google Scholar
  24. Malbergier, A., and Guerra de Andrade, A. (2000). Depressive disorders and suicide attempts in injecting drug users with and without HIV infection. AIDS Care 13(1): 141–150.Google Scholar
  25. Marcenko, M., and Samost, L. (1999). Living with HIV/AIDS: The voices of HIV-positive mothers. Soc. Work 44(1): 36–45.Google Scholar
  26. Morral, A., McCaffrey, D., and Iguchi, M. (2000). Hardcore drug users claim to be occasional users: Drug use frequency underreporting. Drug Alcohol Depend. 57(3): 193–202.Google Scholar
  27. O’Dowd, M., Binderman, D., and McKegney, F. (1993). Incidence of suicidality in AIDS and HIV-positive patients attending a psychiatry outpatient program. Psychosomatics 34(1): 33–40.Google Scholar
  28. Oquendo, M., Ellis, S., Greenwald, S., Malone, K., Weissman, M., and Mann, J. (2001). Ethnic and sex differences in suicide rates relative to major depression in the United States. Am. J. Psychiatry 158(10): 1652–1658.Google Scholar
  29. Roy, A. (2003). Characteristics of HIV patients who attempt suicide. Acta Psychiatr. Scand. 107: 41–44.Google Scholar
  30. Rundell, J., Kyle, K., Brown, G., and Thomason, J. (1992). Risk factors for suicide attempts in a human immunodeficieny virus screening program. Psychosomatics 33(1): 24–27.Google Scholar
  31. Schwarzer, R., Dunkel-Schetter, C., and Kemeny, M. (1994). The multidimensional nature of received social support in gay men at risk of HIV infection and AIDS. Am. J. Community Psychol. 22: 319–339.Google Scholar
  32. Simoni, J., Davis, M., Drossman, J., and Weinberg, B. (2000). Mothers with HIV/AIDS and their children: Disclosure and guardianship issues. Women Health 31: 39–54.Google Scholar
  33. Simoni, J., Kerwin, J., and Martone, M. (2002). Spirituality and psychological adaptation among women with HIV/AIDS: Implications for Counseling. J. Couns. Psychol. 49: 139–147.Google Scholar
  34. Simoni, J., Nero, D., and Weinberg, B. (1998). Suicide attempts among seropositive women in New York City. Am. J. Psychiatry 155(11): 1631–1632.Google Scholar
  35. Simoni, J., Weinberg, B., and Nero, D. (1999). Training community members to conduct survey interviews: Notes from a study of seropositive women. AIDS Educ. Prev. 11(1): 87–88.Google Scholar
  36. Somlai, A. M., Kelly, J. A., Kalichman, S. C., Mulry, G., Sikkema, K. J., Multhauf, K., and Davantes, B. (1996). An empirical investigation of the relationship between spirituality, coping, and emotional distress in people living with HIV infection and AIDS. J. Pastoral Couns. 50: 171–179.Google Scholar
  37. Sowell, R., Moneyham, L., Hennessy, M., Guillory, J., and Seals, B. (2000). Spiritual activities as a resistance resource for women with human immunodeficiency virus. Nurs. Res. 49(2): 73–82.Google Scholar
  38. Starace, F., and Sherr, L. (1998). Suicidal behaviors, euthanasia, and AIDS. AIDS 12: 339–347.Google Scholar

Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  1. 1.Albert Einstein College of MedicineBronx
  2. 2.University of WashingtonSeattle

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