| Titre : | Suicidal Ideation Among Individuals With Dysvascular Lower Extremity Amputation (2015) |
| Auteurs : | Aaron P. Turner ; Tiffany M. Meites ; Rhonda M. Williams |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2015/8, 2015) |
| Article en page(s) : | p. 1404–1410 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Amputation ; Dépression ; Idéation suicidaire ; Rééducation et réadaptation |
| Mots-clés: | Amputation chirurgicale ; Suicidal ideation |
| Résumé : |
Objective To examine the estimated prevalence and correlates of suicidal ideation (SI) among individuals 1 year after a first lower extremity amputation (LEA). Design Cohort survey. Setting Four medical centers. Participants A referred sample of patients (N=239), primarily men, undergoing their first LEA because of complications of diabetes mellitus or peripheral arterial disease, were screened for participation between 2005 and 2008. Of these patients, 136 (57%) met study criteria and 87 (64%) enrolled; 70 (80.5%) of the enrolled patients had complete data regarding SI at 12-month follow-up. Interventions Not applicable. Main Outcome Measures SI, demographic/health information, depressive symptoms, mobility, independence in activities of daily living (ADL), satisfaction with mobility and ADL, medical comorbidities, social support, self-efficacy. Results At 12 months postamputation, 11 subjects (15.71%) reported SI; of these, 3 (27.3%) screened negative for depression. Lower mobility, lower satisfaction with mobility, greater impairment in ADL, lower satisfaction with ADL, lower self-efficacy, and depressive symptoms were all correlated with the presence of SI at a univariate level; of these, only depressive symptoms remained significantly associated with SI in a multivariable model. Conclusions SI was common among those with recent LEA. Several aspects of an amputee's clinical presentation, such as physical functioning, satisfaction with functioning, and self-efficacy, were associated with SI, although depression severity was the best risk marker. A subset of the sample endorsed SI in the absence of a positive depression screen. Brief screening for depression that includes assessment of SI is recommended. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999315002968 |
Bibliothèques HE Vinci
