@article{ref1,
title="Predictors of suicidal ideation and attempt among patients with major depressive disorder at a tertiary care hospital, Puducherry",
journal="Journal of neurosciences in rural practice",
year="2021",
author="Lalthankimi, Ralte and Nagarajan, Padmavathi and Menon, Vikas and Olickal, Jeby Jose",
volume="12",
number="1",
pages="122-128",
abstract="OBJECTIVEs  Mental disorders have a large impact on death by suicide. Hence, this study aims to determine the prevalence of suicidal behaviors among major depressive disorder (MDD) patients and the associated factors. <br><br>MATERIALS AND METHODS  This cross-sectional analytical study was conducted among individuals aged 18 to 65 years, diagnosed with MDD in the Psychiatry Outpatient Department of a Tertiary Care Center, Puducherry during March to October 2019. Severity of depression was assessed using Hamilton Depression Rating Scale and Columbia-Suicide Severity Rating Scale was used to find the suicidal behaviors. <br><br>RESULTS  For 166 participants in the study, mean (standard deviation) age was 40 (11) years and majority were females (76%). More than one-third (37%) had severe or very severe depression, and the prevalence of suicidal ideation, plan, and attempts were 83, 24, and 35%, respectively. After adjusting the covariates, the severity of depression and unemployment were significantly associated with suicidal attempts (adjusted prevalence ratios [aPR] = 11.4 and 1.9), and very severe depression was associated with suicidal ideation (aPR = 1.6). Among 140 individuals with suicidal ideation, 45 (32%) had an ideation frequency of 2 to 3 times/week, 69 (50%) had ideation for 1 hour, 36 (26%) could control ideation with little difficulty, and 12% had suicidal ideation mostly to end or stop their pain. <br><br>CONCLUSION  Suicidal ideation and attempts were significantly high in MDD patients, and the severity of depression was significantly associated with it. Early identification of high-risk suicidal behavior and implementation of effective preventive interventions are necessary to reduce death by suicide in these groups.<p /> <p>Language: en</p>",
language="en",
issn="0976-3147",
doi="10.1055/s-0040-1721558",
url="http://dx.doi.org/10.1055/s-0040-1721558"
}