TY - JOUR PY - 2007// TI - Depression, hopelessness and suicide risk among patients suffering from epilepsy JO - Annali dell'Istituto superiore di sanità€ A1 - Pompili, Maurizio A1 - Vanacore, Nicola A1 - Macone, Sara A1 - Amore, Mario A1 - Petriconi, Gianfranco A1 - Tonna, Matteo A1 - Sasso, Enrico A1 - Lester, David A1 - Innamorati, Marco A1 - Gazzella, Silvia A1 - Di Bonaventura, Carlo A1 - Giallonardo, Annateresa A1 - Girardi, Paolo A1 - Tatarelli, Roberto A1 - De Pisa, Eleonora SP - 425 EP - 429 VL - 43 IS - 4 N2 - Suicide risk, as well as psychiatric disorder, has been repeatedly reported in the international literature as an important issue in the care of individuals suffering from epilepsy. In this pilot study a sample comprising 103 patients with a diagnosis of temporal lobe epilepsy, were collected from three clinics. The patients were administered the Beck hopelessness scale (BHS), the Beck depression inventory (BDI) and the Zung self-rating anxiety scale (SAS). Hopelessness has been identified as a construct linked to the prediction and the prevention of suicide. Twenty-six percent of the epileptic patients had scores>/= 9 on the BHS, suggesting that they should be evaluated for suicidal inclinations. These patients were significantly older by about 9 years and had higher levels of depression and anxiety, but they did not differ in sex, age of onset of epilepsy or in their responsiveness to medication. In the logistic regression analysis, a hopelessness score>/= 9 was predicted by BDI depression scores and SAS anxiety scores taking into account sex, age and response to epileptic medications. Despite a number of limitations, this pilot study adds support for the need for screening for suicide risk in patients with epilepsy. Both clinical and psychometric data should be part of the evaluation of the epileptic patient for psychiatric and suicidality assessment.
Language: en
LA - en SN - 0021-2571 UR - http://dx.doi.org/ ID - ref1 ER -