CLINICAL FEATURES OF SUICIDAL TENDENCIES IN DISABLED PEOPLE WITH BRONCHIAL ASTHMA
European Journal of Molecular & Clinical Medicine,
2020, Volume 7, Issue 11, Pages 427-431
AbstractThe study was carried out in 55 patients with bronchial asthma with established disabilities, the features of suicidal thoughts and attempts were studied in this category of patients. Patients with asthma usually have chronic airway inflammation, variable airflow restriction, and intermittent respiratory symptoms. It remains unclear how physical disability can lead to an increased risk of suicidal acts. The purpose of our study to determine the transverse and longitudinal associations between asthma and suicidal ideation, and asthma and suicidal behavior among disabled asthmatics. We hypothesized that asthma would be associated with a significantly increased risk of suicidal ideation and suicidal behavior among physically disabled people. The study was carried out in 55 patients with bronchial asthma with established disabilities, the features of suicidal thoughts and attempts were studied in this category of patients. The age of the patients at the time of examination ranged from 20 to 42 years [mean age 21.1 ± 5.4 years]. Demographic characteristics, socioeconomic status, physical and mental health status were compared between patients with asthma and asthmatic disabilities. Compared to disabled asthma patients [n = 34.8], patients with asthma [n = 20.2] were older and had a higher percentage of men 52 [40.7] smokers2 [1.4], and had a lower percentage of alcohol consumption3 [11.3], regular exercise22 [47.9] and less work [all p <0.001]. BA patients with disabilities reported more moderate and severe stress [32.6%] and depressive mood [22.2%] compared with asthma [21.4%, p <0.001; 5.9%, p <0.001]. The proportion of patients with disabilities with asthma who had suicidal thoughts [23.6%] was twice as high as in patients with asthma without disabilities [8.8%, p <0.001]. The number of BA patients with disabilities who had suicidal attempts [1.1%] was three times higher than that of asthma [0.4%, p <0.001]. Multivariate analysis, adjusted for age and sex, showed that ORs for suicidal ideation and attempted suicide were 2.02 [94% Ci 1.88-2.12] and 2.32 [95% Ci 1.86-3.11], respectively. When making additional adjustments for socio-economic factors [eg, family income, education, work and marital status; for suicidal ideation and attempts were 1.89 [95% Ci 1.82-1.86] and 2.14 [92% Ci 1.63-2.65], respectively. After further adjustments for physical health factors [eg, smoking, alcohol, exercise, diabetes, hypertension, stroke, and arthritis; The ORs for suicidal thoughts and attempts were 1.61 [92% Ci 1.58–1.71] and 1.38 [94% Ci 1.35–2.20], respectively. In the final adjusted for all factors, including depressed mood, the ORS for suicidal thoughts and attempts were 1.49 [94% Ci 1.32-1.55] and 1.22 [96% Ci 1.01-1.63], respectively. Disabled BA (bronchial asthma) patients had more depressive moods and suicidal thoughts and attempts than asthma patients by examination. We also found that disability in AD increases the risk of suicidal thoughts and attempts, independent of other factors known to be associated with suicidality, suggesting that asthma itself may be an independent risk factor for suicidality given that a previous suicidal attempt is one of the strongest risk factors for a future attempt. The results may provide a basis for physicians to determine suicidality and provide psychological support, as well as measures to prevent suicide in the management of patients with asthma.
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