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Suicidal Ideation, Suicide Attempts, and HIV Infection
- Source :
- Scopus-Elsevier
- Publication Year :
- 1998
- Publisher :
- Elsevier BV, 1998.
-
Abstract
- A cross-sectional study was performed to investigate the prevalence and predictors of suicidal ideation and past suicide attempt in an Australian sample of human immunodeficiency virus (HIV)-positive and HIV-negative homosexual and bisexual men. Sixty-five HIV-negative and 164 HIV-positive men participated. A suicidal ideation score was derived from using five items selected from the Beck Depression Inventory and the General Health Questionnaire (28-item version). Lifetime and current prevalence rates of psychiatric disorder were evaluated with the Diagnostic Interview Schedule Version-III-R. The HIV-positive (Centers for Disease Control and Prevention [CDC] Stage IV) men (n = 85) had significantly higher total suicidal ideation scores than the asymptomatic HIV-positive men (CDC Stage II/III) (n = 79) and the HIV-negative men. High rates of past suicide attempt were detected in the HIV-negative (29%) and HIV-positive men (21%). Factors associated with suicidal ideation included being HIV-positive, the presence of current psychiatric disorder, higher neuroticism scores, external locus of control, and current unemployment. In the HIV-positive group analyzed separately, higher suicidal ideation was discriminated by the adjustment to HIV diagnosis (greater hopelessness and lower fighting spirit), disease factors (greater number of current acquired immunodeficiency syndrome [AIDS]-related conditions), and background variables (neuroticism). Significant predictors of a past attempted suicide were a positive lifetime history of psychiatric disorder (particularly depression diagnoses), a lifetime history of infection drug use, and a family history of suicide attempts. The findings indicate increased levels of suicidal ideation in symptomatic HIV-positive men and highlight the role that multiple psychosocial factors associated with suicidal ideation and attempted suicide play in this population.
- Subjects :
- Adult
Male
medicine.medical_specialty
Population
Poison control
Suicide, Attempted
Suicide prevention
Arts and Humanities (miscellaneous)
Acquired immunodeficiency syndrome (AIDS)
Risk Factors
HIV Seronegativity
HIV Seropositivity
mental disorders
medicine
Humans
Homosexuality, Male
Psychiatry
education
Suicidal ideation
Applied Psychology
Psychiatric Status Rating Scales
Analysis of Variance
education.field_of_study
Chi-Square Distribution
Suicide attempt
Beck Depression Inventory
Discriminant Analysis
Middle Aged
medicine.disease
Psychiatry and Mental health
Cross-Sectional Studies
Bisexuality
General Health Questionnaire
medicine.symptom
Psychology
Clinical psychology
Subjects
Details
- ISSN :
- 00333182
- Volume :
- 39
- Database :
- OpenAIRE
- Journal :
- Psychosomatics
- Accession number :
- edsair.doi.dedup.....22c6a47753275a73c1fb2b15966b9518