Clinical Research
The influence of cognition on suicidal ideation of major depressive patients
Wei Li, Chengjun Ji, Fude Yang, Qingtao Bian, Yongsheng Tong, Zhiren Wang, Kebing Yang, Haipeng Cai, Xin Wang, Yunlong Tan
Published 2019-09-20
Cite as Chin J Behav Med & Brain Sci, 2019, 28(9): 827-831. DOI: 10.3760/cma.j.issn.1674-6554.2019.09.013
Abstract
ObjectiveTo analyze the influence of cognition on suicidal ideation in patients with major depressive disorder.
MethodsA total of 108 inpatients with major depressive disorder from January 2017 to September 2018 in Beijing Huilongguan Hospital were enrolled.They were divided into suicidal ideation group (n=42) and non-suicidal ideation group (n=66) by the self-rating idea of suicide scale (SIOSS). Cognition was assessed by Repeatable Battery for the Assessment of Neuropsychological Status(RBANS). The general situation was assessed by self-made general situation questionnaire.The related factors were analyzed by Logistic regression.
Results(1) The rate of suicidal ideation was 44.4% in patients with major depressive disorder.(2) The total score of RBANS and five-factor scores of RBANS in suicidal ideation group were lower than those in non-suicidal ideation group(total RBANS score(63.0±7.9) vs (73.8±7.7); immediate memory: (62.7±8.8) vs (70.8±7.6); visual span: (67.2±10.0) vs (72.7±9.8); speech function: (83.3±13.8) vs (91.5±4.5); attention: (85.3±11.9) vs (99.9±8.5); delayed memory: (53.5±7.7) vs (62.3±9.7), F=6.335-46.660, P<0.05). (3)Logistic regression showed, years of education were risk factors for suicidal ideation(β=0.289, P=0.013, OR=1.335, 95%CI=1.063-1.676), RBANS attention factor(β=-0.161, P=0.000, OR=0.851, 95%CI=0.778-0.931)and RBANS delayed memory factor score(β=-0.151, P=0.006, OR=0.860, 95%CI=0.772-0.957)were protective factors for suicidal ideation.
ConclusionCognitive function has an impact on suicide ideation of depressive patients, mainly attention and delayed memory are protective factors for suicide ideation.
Key words:
Depression; Suicidal ideation; Cognition; Attention; Memory
Contributor Information
Wei Li
Physical Therapy Center, Peking University Huilongguan Clinical Medical School, Beijing Huilongguan Hospital, Beijing 100096, China
Chengjun Ji
Physical Therapy Center, Peking University Huilongguan Clinical Medical School, Beijing Huilongguan Hospital, Beijing 100096, China
Fude Yang
Hospital Office Department, Peking University Huilongguan Clinical Medical School, Beijing Huilongguan Hospital, Beijing 100096, China
Qingtao Bian
The First Clinical Department, Peking University Huilongguan Clinical Medical School, Beijing Huilongguan Hospital, Beijing 100096, China
Yongsheng Tong
Center for Psychological Crisis Research and Intervention, Peking University Huilongguan Clinical Medical School, Beijing Huilongguan Hospital, Beijing 100096, China
Zhiren Wang
Science and Technology Department, Peking University Huilongguan Clinical Medical School, Beijing Huilongguan Hospital, Beijing 100096, China
Kebing Yang
Physical Therapy Center, Peking University Huilongguan Clinical Medical School, Beijing Huilongguan Hospital, Beijing 100096, China
Haipeng Cai
Physical Therapy Center, Peking University Huilongguan Clinical Medical School, Beijing Huilongguan Hospital, Beijing 100096, China
Xin Wang
Physical Therapy Center, Peking University Huilongguan Clinical Medical School, Beijing Huilongguan Hospital, Beijing 100096, China
Yunlong Tan
Hospital Office Department, Peking University Huilongguan Clinical Medical School, Beijing Huilongguan Hospital, Beijing 100096, China
