@article{ref1,
title="Changes in self-reported suicidal ideation during treatment with electroconvulsive therapy: a retrospective cohort study",
journal="Acta psychiatrica Scandinavica",
year="2023",
author="Luccarelli, James and Humphrey, Daniel and McCoy, Thomas H. Jr and Henry, Michael E. and Mueller, Martina and Seiner, Stephen J.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: Suicidal ideation (SI) is common in patients with depressive symptoms, who are the most common recipients of electroconvulsive therapy (ECT). We sought to quantify changes in self-reported SI occurring during treatment with ECT, and to identify factors associated with persistence of SI in patients beginning treatment with SI. <br><br>METHOD: Retrospective, single-center cohort study of patients receiving ECT and who self-reported symptoms using Quick Inventory of Depressive Symptomatology (QIDS) prior to ECT and after treatment #5 or #10. Changes in QIDS-reported SI over the course of ECT were calculated, and logistic regression models were performed to assess factors associated with reporting SI at the end of treatment. <br><br>RESULTS: 2554 provided baseline and follow-up SI scores, of whom, 1931 (75.6%) endorsed SI at baseline. There was a reduction in SI with ECT treatment (McNemar's test; df = 1, Χ(2)  = 803.7; p < 0.001), and in adjusted models 64.0% of individuals with baseline SI reported resolution of SI with ECT treatment, while 3.3% without baseline SI reported SI at the end of treatment. Higher baseline SI severity and outpatient treatment were associated with a higher odds of persistent SI among individuals beginning treatment with SI. <br><br>CONCLUSION: Electroconvulsive therapy treatment was associated with reductions in self-reported SI. These results support the use of ECT in the treatment of patients with SI, but further research is needed to determine the effects of ECT on suicidal behavior.<p /> <p>Language: en</p>",
language="en",
issn="0001-690X",
doi="10.1111/acps.13603",
url="http://dx.doi.org/10.1111/acps.13603"
}