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Feal Panceiras, Maria J.; Íñiguez Alvarado, Maria Cristina; Cosgaya, Marina; García Caldentey, Juan; Caballol, Nuria; Legarda, Ines; Hernández Vara, Jorge; Cabo, Iria; González Aramburu, Isabel; Nogueira, Víctor; Puente, Víctor; Dotor García‐Soto, Julio; Borrué, Carmen; Álvarez Sauco, María; Vela, Lydia; Escalante, Sonia; Cubo, Esther; Carrillo Padilla, Francisco; Martínez Castrillo, Juan C.; Sánchez Alonso, Pilar; López Ariztegui, Nuria; Gastón, Itziar; Kulisevsky, Jaime; Blázquez Estrada, Marta; Rúiz Martínez, Javier; Valero, Caridad; Kurtis, Mónica; Fábregues, Oriol; González Ardura, Jessica; Alonso Redondo, Ruben; López Díaz, Luis M.; McAfee, Darrian; Astrid Daniela, Adarmes; Alonso Cánovas, Araceli; Alonso Redondo, Ruben; Álvarez Sauco, María; Arribas, Sonia; Aguilar, Miquel; Ávila, Maria Asunción; Bernardo Lambrich, Noemí; Bejr‐Kasem, Helena; Botí González, Maria Ángeles; Buongiorno, Maria Teresa; Cabo López, Iria; Cámara Lorenzo, Ana; Canfield Medina, Héctor; Carrillo, Fátima; Carrillo Padilla, Francisco José; Casas, Elena; Clavero, Pedro; Cortina Fernández, A.; Cosgaya, Marina; Cubo, Esther; Deus Fonticoba, Teresa; Fábregues‐Boixar, Oriol; Estelrich Peyret, Elena; Fernández Guillán, Noelia; Gallego, Mercedes; García Caldentey, Juan; García Campos, Cristina; García Moreno, Jose Manuel; González‐Aramburu, Isabel; González Ardura, Jessica; Guardia, Gemma; Hernández Vara, Jorge; Jesús, Silvia; Kurtis, Mónica; Lacruz, Francisco; Lastres Gómez, Sonia; Legarda, Inés; López Ariztegui, Nuria; López Díaz, Luis Manuel; Lucas del Pozo, Sara; Macías, Yolanda; Martí Andres, Gloria; Martí, Maria José; Martínez Castrillo, Juan Carlos; Martinez‐Martin, Pablo; Mir, Pablo; Miranda Santiago, Javier; Morales Casado, Maria Isabel; Moreno Diéguez, Antonio; Novo Amado, Alba; Novo Ponte, Sabela; Ordás, Carlos; Pastor, Pau; Prieto Jurczynska, Cristina; Pueyo Morlans, Mercedes; Rodríguez Pérez, Amparo Belén; Roldán, Florinda; Ruíz De Arcos, María; Sánchez‐Carpintero, Macarena; Santacruz, Pilar; Santos García, Diego; Segundo Rodríguez, José Clemente; Seijo, Manuel; Sierra Peña, María; Tartari, Juan Pablo; Vargas, Laura; Vives, Bárbara
International journal of geriatric psychiatry, 20/May , Letnik: 38, Številka: 5Journal Article
Background Detection of suicidal ideation (SI) is key for trying to prevent suicide. The aim of this study was to analyze the frequency of SI and related factors in Spanish people with Parkinson's Disease (PwPD) and to compare them with a control group. Methods PD patients and controls recruited from the Spanish cohort COPPADIS from January 2016 to November 2017 were included. Two visits were conducted: V0 (baseline); V2 (2‐year ± 1 month follow‐up). SI was defined as a score ≥1 on item nine of the Beck Depression Inventory‐II (BDI‐II). Regression analyses were conducted to identify factors related to SI. Results At baseline, 693 PwPD (60.2% males; 62.59 ± 8.91 years old) and 207 controls (49.8% males; 60.99 ± 8.32 years old) were included. No differences between PwPD and controls were detected in SI frequency at either V0 (5.1% 35/693 vs. 4.3% 9/207; p = 0.421) or at V2 (5.1% 26/508 vs. 4.8% 6/125; p = 0.549). Major depression (MD) and a worse quality of life were associated with SI at both visits in PwPD: V0 (MD, OR = 5.63; p = 0.003; PDQ‐39, OR = 1.06; p = 0.021); V2 (MD, OR = 4.75; p = 0.027; EUROHIS‐QOL8, OR = 0.22; p = 0.006). A greater increase in the BDI‐II total score from V0 to V2 was the only factor predicting SI at V2 (OR = 1.21; p = 0.002) along with an increase in the total number of non‐antiparkinsonian drugs (OR = 1.39; p = 0.041). Conclusion The frequency of SI (5%) in PwPD was similar to in controls. Depression, a worse quality of life, and a greater comorbidity were related to SI. Key points This study detected suicidal ideation in about 5% of people with Parkinson's disease (PwPD) and was not more frequent than in controls. Independent factors associated with suicidal ideation were major depression, a worse quality of life, and an increase in mood impairment or comorbidity over time. These findings suggest the importance of detecting depressive symptoms in PwPD and evaluation for suicide thoughts, especially in those PwPD with major depression.
