Cognitive impairment and depression symptoms are independently associated with suicidal ideation in US Veterans.

Ryan, Arthur T; Phalen, Peter; Jahn, Danielle R; Wastler, Heather; Bennett, Melanie; Ghahramanlou-Holloway, Marjan; Schwartz, Barbara.

Afiliação

Ryan AT; Veterans Affairs VISN 5 Mental Illness Research, Education, and Clinical Center (MIRECC), Baltimore, MD, USA; Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA. Electronic address: arthur.ryan@va.gov.
Phalen P; Veterans Affairs VISN 5 Mental Illness Research, Education, and Clinical Center (MIRECC), Baltimore, MD, USA; Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA.
Jahn DR; Mental Health Center for Acute Recovery Empowerment, Orlando Veterans Affairs Medical Center, Orlando, FL, USA.
Wastler H; Veterans Affairs VISN 5 Mental Illness Research, Education, and Clinical Center (MIRECC), Baltimore, MD, USA.
Bennett M; Veterans Affairs VISN 5 Mental Illness Research, Education, and Clinical Center (MIRECC), Baltimore, MD, USA; Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA.
Ghahramanlou-Holloway M; Suicide Care, Prevention, and Research Initiative, Department of Medical & Clinical Psychology, Uniformed Services University, Bethesda, MD, USA.
Schwartz B; Mental Health Service, Washington DC Veterans Affairs Medical Center, Washington, DC, USA.

Psychiatry Res ; 286: 112833, 2020 Jan 30.

Article em En | MEDLINE | ID: mdl-32062520

ABSTRACT

Depression is associated with cognitive impairment and suicidality. The independent association between cognitive impairment and suicidality is less clear. We examined the relationship between suicidal ideation and cognitive impairment in a sample of 50 veterans with depressive disorder diagnoses. Using zero-inflated Poisson regression, the severity of suicidal ideation was negatively associated with attention (incidence rate ratio [IRR] = 0.78, p < .001), memory (IRR = 0.87, p < .001), and total cognition (IRR = 0.90, p = .007) index scores as measured by the Dementia Rating Scale 2 (DRS-2). These three indices continued to significantly predict suicidal ideation severity once depression symptoms were controlled for.

Palavras-chave

Cognition; Depression; Suicidal ideation

Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2020 Tipo de documento: Article