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  4. Risk Factors Associated With Suicidal Ideation in Individuals With Spinal Cord Injury

Risk Factors Associated With Suicidal Ideation in Individuals With Spinal Cord Injury

Archives of Rehabilitation Research and Clinical Translation, 2023 · DOI: https://doi.org/10.1016/j.arrct.2023.100284 · Published: January 1, 2023

Spinal Cord InjuryMental HealthRehabilitation

Simple Explanation

This study looked at suicidal thoughts in people with spinal cord injuries. It found that 11% of participants had considered suicide in the past two weeks, a rate higher than the general population. The study identified several factors that increase the risk of suicidal thoughts. These include depression, low resilience, and lack of physical independence. The researchers suggest that regular screening for suicidal thoughts and interventions targeting multiple areas of life could help reduce suicide risk in this group.

Study Duration
April 2017 and December 2019
Participants
246 individuals with chronic SCI
Evidence Level
Cross-sectional study

Key Findings

  • 1
    11% of participants endorsed suicidal ideation (SI), with 22.2% of those endorsing active SI.
  • 2
    Participants endorsing SI had significantly higher depressive symptoms, lower resilience, and lower satisfaction with life.
  • 3
    Depressive symptoms, resilience, and physical independence were identified as significant predictors of endorsing SI.

Research Summary

This study assessed the frequency of suicidal ideation (SI) among individuals with chronic spinal cord injury (SCI) and identified associated risk factors. The results showed a higher prevalence of SI among people with SCI compared to the general population, with depressive symptoms, resilience, and physical independence being significant predictors. The study suggests interventions targeting multiple dimensions of quality of life may help reduce the risk of SI and suicide among individuals with SCI.

Practical Implications

Routine Screening

Regular screening for SI should be implemented for individuals with chronic SCI during health visits and research surveys.

Intervention Targets

Interventions should focus on improving mental health (reducing depressive symptoms), enhancing resilience, and promoting physical independence.

Telehealth Opportunities

Mobile health technology and telehealth services can be leveraged to broaden healthcare access and improve care coordination for SCI patients.

Study Limitations

  • 1
    Cross-sectional study design
  • 2
    Relatively small sample size
  • 3
    Predominantly White sample

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