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Suicidal plans in patients with stroke: comparison between acute-onset and delayed-onset suicidal plans
Author(s)Yasuhiro Kishi, Robert G Robinson, James T Kosier
Journal titleInternational Psychogeriatrics, vol 8, no 4, Winter 1996
Pagespp 623-633
KeywordsStroke ; Suicide ; Longitudinal surveys ; United States of America.
AnnotationThree-hundred and one patients were examined for suicidal plans during the acute hospital period following stroke and at 3, 6, 12 and 24 months' follow-up in this US study. It was found that 6.6% of patients developed suicidal plans during the initial in-hospital evaluation (acute-onset suicidal plans) and 11.3% of patients developed suicidal plans at 3, 6, 12, or 24 months' follow-up (delayed onset suicidal plans). The development of both acute and delayed-onset suicidal plans was strongly related to the existence of depressive disorders, especially major depression, and to a prior history of stroke. Acute-onset suicidal plans were also related to pre-morbid alcohol abuse. Delayed-onset suicidal plans tended to be associated with greater physical impairment and poorer social support during the acute post-stroke period. These findings suggest that the aetiology of these two types of suicidal plans may be different with acute onset related to biological mechanisms and delayed-onset related to psychological mechanisms. (AKM).
Accession NumberCPA-980303284 A
ClassmarkCQA: EV: 3J: 7T

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