Objectives: To analyze the selected factors associated with suicidal ideation among post-stroke patients at the National Geriatric Hospital. Methods: A cross-sectional descriptive study was conducted on 304 post-stroke inpatients from August 2025 to February 2026. Data were collected through direct clinical assessment and medical record review. Suicidal ideation was assessed through direct interviews, while mental health status and quality of life were evaluated using the PSQI, HADS, and SS-QOL-17 scales, respectively. Data were analyzed using SPSS version 27.0. Results: The prevalence of suicidal ideation was 11.8%. Male had a higher prevalence of suicidal ideation than female (OR crude = 2.85; p = 0.006). Younger patients, later post-stroke stage, and the presence of sequelae were significantly associated with suicidal ideation. Mental health factors, including insomnia, anxiety, depression, and poor quality of life, were strongly associated with suicidal ideation (p < 0.001). Conclusions: Suicidal ideation among post-stroke patients is associated with multiple factors, particularly mental health disorders and reduced quality of life. Early screening and timely intervention for these factors are essential for suicide prevention.
SOME FACTORS ASSOCIATED WITH SUICIDAL IDEATION IN POST-STROKE PATIENTS AT THE NATIONAL GERIATRIC HOSPITAL
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Keywords
Stroke; suicidal ideation; quality of life
Abstract
References
[1]
Feigin VL, Norrving B, Mensah GA. Global Burden of Stroke. Circulation Research. 2017;120(3):439-448. doi:10.1161/CIRCRESAHA.116.308413
Google Scholar
[2]
Ayerbe L, Ayis S, Wolfe CDA, Rudd AG. Natural history, predictors and outcomes of depression after stroke: systematic review and meta-analysis. The British Journal of Psychiatry. 2013;202(1):14-21. doi:10.1192/bjp.bp.111.107664
Google Scholar
[3]
Eriksson M, Glader EL, Norrving B, Asplund K. Poststroke suicide attempts and completed suicides. Neurology. 2015;84(17):1732-1738. doi:10.1212/WNL.0000000000001514
Google Scholar
[4]
Kishi Y, Robinson RG, Rosier JT. Suicidal Plans in Patients With Stroke: Comparison Between Acute-Onset and Delayed-Onset Suicidal Plans. International Psychogeriatrics. 1996;8(4):623-634. doi:10.1017/S1041610296002931
Google Scholar
[5]
Zhang S, Wang A, Zhu W, Qiu Z, Zhang Z. Meta-analysis of risk factors associated with suicidal ideation after stroke. Ann Gen Psychiatry. 2022;21(1):1. doi:10.1186/s12991-021-00378-8
Google Scholar
[6]
Morris R. The Psychology of Stroke in Young Adults: The Roles of Service Provision and Return to Work. Stroke Research and Treatment. 2011;2011(1):534812. doi:10.4061/2011/534812
Google Scholar
[7]
Hong JP, Park S, Ahn SH, Kim JS. Factors associated with post-stroke suicidal death. Journal of Psychiatric Research. 2018;96:135-137. doi:10.1016/j.jpsychires.2017.10.005
Google Scholar
[8]
Tang WK, Lu JY, Liang H, et al. Is Insomnia Associated With Suicidality in Stroke? Archives of Physical Medicine and Rehabilitation. 2011;92(12):2025-2027. doi:10.1016/j.apmr.2011.06.030
Google Scholar
[9]
Lourenço E, Sampaio MR dos M, Nzwalo H, Costa EI, Ramos JLS. Determinants of Quality of Life after Stroke in Southern Portugal: A Cross Sectional Community-Based Study. Brain Sciences. 2021;11(11):1509. doi:10.3390/brainsci11111509
Google Scholar