TY  - JOUR
PY  - 2019//
TI  - Risk factors for suicidal tendency in adult patients with epilepsy in China
JO  - Epilepsy and behavior
A1  - Ding, Siqi
A1  - Li, Xueying
A1  - Hua, Yingjie
A1  - Dong, Feirong
A1  - Lin, Jiahe
A1  - Du, Yanru
A1  - Shen, Jingzan
A1  - Xia, Niange
A1  - Zhu, Zhenguo
A1  - Wang, Xinshi
A1  - Zheng, Rongyuan
A1  - Xu, Huiqin
SP  - 118
EP  - 122
VL  - 97
IS  - 
N2  - OBJECTIVE: The major cause of premature mortality in people with epilepsy (PWE) is suicide. Actual data on the risk of suicidal tendency in adult PWE in China are scarce. In our study, associations between possible risk factors and suicidal tendency in adult PWE in China were investigated. <br><br>METHODS: People with epilepsy (n = 251) were recruited, and their demographic and clinical characteristics were evaluated. Suicide risk was examined using the suicidality module (SM) of the Mini International Neuropsychiatric Interview (MINI) Plus Chinese Version 5.0.0. <br><br>RESULTS: Suicidal tendency was present in 36 (14.3%) of the 251 PWE. On the basis of the results of univariate analyses, family relationship (P < 0.001), age at epilepsy onset (P = 0.037), seizure-free period (P = 0.041), seizures/month (P = 0.015), depressive disorders (P < 0.001), and number of antiepileptic drugs (AEDs) (P = 0.017) were associated with suicidal tendency. Multivariate analysis revealed that moderate or poor family relationships (odds ratio (OR): 6.468, 95% confidence interval (CI): 2.418-17.300) and depressive disorders (OR: 3.548, 95% CI: 1.575-7.995) were associated with high odds of suicidal tendency. <br><br>CONCLUSION: Suicidal tendency is common among adult PWE. This study reveals that family relationships and depressive disorders are independent risk factors for suicidal tendency among adult PWE. Therefore, while maintaining treatment of epilepsy, more attention should be directed to the social support and mental state of PWE to prevent suicide.<br><br>Copyright © 2019 Elsevier Inc. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 1525-5050
UR  - http://dx.doi.org/10.1016/j.yebeh.2019.06.006
ID  - ref1
ER  -