Affiliation:
1. Department of Psychiatry Harvard Medical School Boston Massachusetts USA
2. Department of Psychiatry Massachusetts General Hospital Boston Massachusetts USA
3. College of Nursing Medical University of South Carolina Charleston South Carolina USA
4. Department of Public Health Sciences Medical University of South Carolina Charleston South Carolina USA
5. Department of Psychiatry McLean Hospital Belmont Massachusetts USA
Abstract
AbstractObjectiveSuicidal 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.MethodRetrospective, 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.Results2554 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, Χ2 = 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.ConclusionElectroconvulsive 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.
Funder
National Institute of Mental Health
National Institute on Aging
Subject
Psychiatry and Mental health
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献