Abstract
This study explored suicidality among 190 (68% male) participants in an HIV mental health clinic. Twenty-six percent had suicidal thoughts within 30 days of admission, 49% had a plan, and 48% expressed intent stating there was moderate or high likelihood they would take action. The most prevalent diagnoses among those with suicidal ideation were major depression (64%), drug dependence (52%), and depressive personality disorder (50%). In regression analyses, individuals with major depression, dysthymia, substance abuse, thought disorder, posttraumatic stress disorder, and borderline and avoidant personality disorders were at increased risk for suicidality whereas those with narcissistic personality disorder were at decreased risk. In addition, six of seven quality-of-life variables were associated with suicidal ideation, with the strongest correlations found for leisure/social (r = .36) and family/friends (r = .33). At-risk individuals, especially those with “dual disorders,” unstable interpersonal relations, and a restricted social environment, should be carefully screened for suicidality.
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Belkin, G., Fleshman, J. A., Stein, M., Piette, J., and Mor, V. (1992). Physical symptoms anddepressive symptoms among individuals with HIV infection. Psychosomatics, 33, 416-427.
Brown, G. R., and Rundell, J. R. (1993). A prospective study of psychiatric aspects of early HIV disease in women. General Hospital Psychiatry, 15, 139-147.
De Hert, M., McKenzie, K., and Peuskens, J. (2001). Risk factors for suicide in young peoplesuffering from schizophrenia: A long term follow-up study. Schizophrenia Research, 47, 127-134.
Gala, C., Pergami, A., Catalan, J., Riccio, M., Durbano, F., Musiccio, M., Baldewerg, T., and Invernizzi, G. (1992). Risk of deliberate self-harm and factors associated with suicidal behaviour among asymptomatic individuals with human immunodeficiency virus infection. Acta Psychiatrica Scandanavica, 86, 70-75.
Hays, R. D., Cunningham, W. E., Sherbourne, C. D., Wilson, I. B., Wu, A. W., Cleary, P. D., McCaffrey, D. F., Fleishman, J. A., Crystal, S., Collins, R., Eggan, F., Shapiro, M. F., and Bozzette, S. A. (2000). Health-related quality of life in patients with human immunodeficiency virus infection in the United States: Results from the HIV cost and service utilization study. American Journal of Medicine, 108, 714-722.
Kalichman, S. C., Heckman, T., Kochman, A., Sikkema, K., and Bergholte, J. (2000). Depressionand thoughts of suicide among middle-aged and older persons living with HIV–AIDS. Psychiatric Services, 51, 903-907.
Kaslow, N., Thompson, M., Meadows, L., Chance, S., Puett, R., Hollins, L., Jessee, S., and Kellerman, A. (2000). Risk factors for suicide attempts among African American women. Depression Anxiety, 12, 13-20.
Kelly, B., Raphael, B., Judd, F., Perdices, M., Kernutt, G., Burnett, P., Dunne, M., and Burrows, G. (1998). Suicidal ideation, suicide attempts, and HIV infection. Psychosomatics, 39, 405-415.
Kemppainen, J. K. (2001). Predictors of quality of life in AIDS patients. Journal of the Association of Nurses in AIDS Care, 12, 61-70.
Kotler, M., Iancu, I., Efroni, R., and Amir, M. (2001). Anger, impulsivity, social support and suicide risk in patients with post-traumatic stress disorder. Journal of Nervous and Mental Disease, 189, 162-167.
Maj, M., Janssen, R., Starace, F., Zaudig, M., Satz, P., Sughondhabirom, B., Luabeya, M. A., Riedel, R., Ndetei, D., Calil, H. M., et al. (1994). WHO Neuropsychological AIDS Study, Cross-Sectional Phase I: Study design and psychiatric findings. Archives of General Psychiatry, 51, 39-49.
Marzuk, P. M., Teirney, H., Tardiff, K., Gross, E. M., Morgan, E. B., Hsu, M. A., and Mann, J. J., et al. (1988). Increased risk of suicide in persons with AIDS. Journal of the American Medical Association, 259, 1333-1370.
McKegney, J. F. P., and O'Dowd, M. A. (1992). Suicidality and HIV status. American Journal of Psychiatry, 149, 396-398.
Mino, A., Bousquet, A., and Broers, B. (1999). Substance abuse and drug-related death, suicidal ideation and suicide: A review. Crisis, 20, 28-35.
O'Dowd, M. A., Biderman, D. J., and McKegney, F. P. (1993). Incidence of suicidality in AIDS and HIV-positive patients attending a psychiatry outpatient program. Psychosomatics, 34, 33-40.
Perry, S., Jacobsberg, L., and Fishman, B. (1990). Suicidal ideation and HIV testing. Journal of the American Medical Association, 263, 679-682.
Rabkin, J. G., Remien, R., Katoff, L., and Williams, J. B. (1993). Suicidality in AIDS long-term survivors: What is the evidence? AIDS Care, 53, 87-90.
Ritchie, E. C., and Ross, B. (1992). Depression and support system in male army HIV+ patients. Military Medicine, 157, 345-349.
Rosenberger, P. A., Bornstein, R. A., Nasrallah, H. A., Para, M. F., Whitaker, C. C., Fass, R. J., and Rice, R. R., Jr., et al. (1993). Psychopathology in human immunodeficiency virus infection: Lifetime and current assessment. Comprehensive Psychiatry, 34, 150-158.
Rundell, J. R., Kyle, K. M., Brown, G. R., and Thomason, J. L., et al. (1992). Risk factors forsuicide attempts in a human immunodeficiency virus screening program. Psychosomatics, 33, 24-27.
Soloff, P. H., Lynch, K. G., Kelly, T. M., Malone, K. M., and Mann, J. J. (2000). Characteristics of suicide attempts of patients with major depressive episode and borderline personality disorder: A comparative study. American Journal of Psychiatry, 157, 601-608.
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Haller, D.L., Miles, D.R. Suicidal Ideation Among Psychiatric Patients with HIV: Psychiatric Morbidity and Quality of Life. AIDS Behav 7, 101–108 (2003). https://doi.org/10.1023/A:1023985906166
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DOI: https://doi.org/10.1023/A:1023985906166