Correlates of suicidal ideation among HIV-positive persons
ABSTRACT The present investigation sought to determine the extent to which demographic characteristics, illness-related burdens, alcohol and other substance use, and psychosocial factors are independently associated with suicidal ideation in HIV-positive individuals.
HIV-positive individuals in four US cities (San Francisco, Los Angeles, Milwaukee, and New York City) were screened between July 2000 and January 2002 for recruitment into a randomized behavioral prevention trial. Utilizing data from this screening visit, rates and correlates of suicidal ideation were examined in a diverse sample of 2909 HIV-positive individuals.
Using binary logistic regression study sites, demographic characteristics, illness-related burdens, alcohol and substance use, and psychosocial factors were entered as predictors of suicidal ideation. This cross-sectional model thus examined the independent effects of each factor.
Approximately one-fifth (19%) of participants reported thoughts of suicide in the past week. We observed that participants who were not heterosexual, rated HIV-related symptoms and medication side effects as more severe, reported regular marijuana use, and described elevated affective symptoms of depression were those who were more likely to report suicidal ideation. Conversely, participants who identified as Hispanic/Latino, individuals in a primary romantic relationship, and those who reported greater self-efficacy for coping were less likely to report suicidal ideation.
Suicidal ideation among HIV-positive individuals is relatively common and is associated with multiple factors. These independent correlates may assist with identifying HIV-positive individuals who are at increased risk of suicidal ideation so that they may be assessed regularly and referred for psychological treatment when appropriate.
- SourceAvailable from: Cynthia Price
[Show abstract] [Hide abstract]
- "Persons with HIV commonly experience an overwhelming severity of symptoms from both the disease and HIV medications.(10) Major depression is the psychiatric disorder most associated with HIV infection(11) and, along with substance use disorders, is highly predictive of suicidal ideation in PLWH.(12) Sleep disturbance is another very common symptom, experienced by as many as 73% of persons with HIV. "
ABSTRACT: Self-care skills for persons living with HIV (PLWH) are needed to better cope with the common symptoms and emotional challenges of living with this chronic illness. The purpose of this study was to examine the feasibility and acceptability of Mindful Awareness in Body-oriented Therapy (MABT) for individuals receiving medical management for HIV at an outpatient program. A nonprofit outpatient day program that provided medical management to low-income individuals with HIV. A one group pre-post study design, nine participants were recruited to receive eight weekly MABT sessions of 1.25 hours each. MABT is designed to facilitate emotion regulation through teaching somatically-based self-care skills to respond to daily stressors. To assess participant characteristics and study feasibility, a battery of health questionnaires and one week of wrist actigraphy was administered pre- and postintervention. A satisfaction survey and written questionnaire was administered postintervention to assess MABT acceptability. The results demonstrated recruitment and retention feasibility. The sample had psychological and physical health symptoms that are characteristic of PLWH. MABT acceptability was high, and participants perceived that they learned new mind-body self-care skills that improved HIV symptoms and their ability to manage symptoms. The positive findings support a larger future study to examine MABT efficacy to improve coping with HIV symptoms among PLWH.International Journal of Therapeutic Massage & Bodywork Research Education & Practice 06/2013; 6(2):9-19. DOI:10.3822/ijtmb.v6i2.197
[Show abstract] [Hide abstract]
- "These independent correlates may assist identification of HIV-positive individuals whose risk of suicidal ideation is elevated. Accordingly, these persons can be assessed regularly and referred for psychological treatment where appropriate (Carrico et al., 2007). Endel obtained help: psychiatric during his depression and psychological in combating his pathological gambling; his dismissal from the army was a step-by-step process; he was given a civilian job. "
ABSTRACT: A former army officer unexpectedly killed his wife and two daughters by strangulation and afterwards hanged himself. Psychological autopsy (police investigation, forensic expertise, psychiatric records and interviews) showed how an ordinary young man, functioning well at work and normally in family life, had become a homicide–suicide perpetrator. The study brings out the complex of risk factors for suicidal crisis: violent and risk-taking behaviour, impulsivity, depression, attempted suicide, pathological gambling, debts, HIV, dismissal from active military duty and, finally, shame as a reaction to social decline. It remains unclear whether the motives for the familicide were predominantly altruistic or, rather, egoistic, i.e. behaviour characteristic of a major narcissistic suicide crisis. Evidently, there is no genuine altruistic/hostile dichotomy; motives for this domestic homicide–suicide are mostly mixed or blurred. Although the perpetrator received psychiatric and psychological help, there were several identifiable deficiencies in the chain of care, with implications for possible prevention.Journal of Forensic Psychiatry and Psychology 02/2011; 22(1):156-168. DOI:10.1080/14789949.2010.518244 · 0.88 Impact Factor
[Show abstract] [Hide abstract]
- "misuse precipitates suicidal behavior by adding stressful adverse effects, inducing depressed affect, and impairing problem solving skills through neurological and cognitive dysfunction. Likewise, Carrico et al. (2007) found that chronic marijuana use was predictive of suicidal ideation in adults with HIV. Substance use in this population may aggravate existing neurological and cognitive declines, and may result in fewer cognitive resources with which to compensate for and adapt to stressors. "
ABSTRACT: Because of highly active antiretroviral therapy, people are now aging with HIV. Several stressors associated with aging with HIV may result in increased levels of depression and suicidal ideation. In addition, neurological and cognitive changes that often accompany both aging and HIV must be considered because those aging with HIV are at greater risk of developing such problems. These problems may be reflected in executive functioning deficits and initiation and perseveration difficulties. Adults experiencing such problems may be predisposed to ruminative thoughts that can impair the ability to effectively cope with the stressors associated with aging with HIV. Moreover, other conditions such as posttraumatic stress disorder, chronic drug use, and mitochondrial-damage-related fatigue can predispose these adults to the development of further neurological and cognitive problems. These problems may foster further ruminative thinking and increase the severity of depression and suicidal ideation. Implications for nursing practice, intervention, and research are provided.Journal of Psychosocial Nursing and Mental Health Services 12/2008; 46(11):33-8. · 0.72 Impact Factor