Correlates of suicidal ideation among HIV-positive persons
Correlates of suicidal ideation among HIV-positive persons
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DOI：
10.1097/qad.0b013e3281532c96
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发表时间：
2007-05-31
期刊：
影响因子：
3.8
通讯作者：
Chesney, Margaret A.
中科院分区：
文献类型：
--
作者：
Carrico, Adam W.;Johnson, Mallory O.;Chesney, Margaret A.
目的：本研究旨在确定人口统计学特征、疾病相关负担、酒精和其他物质使用以及心理社会因素在多大程度上与HIV阳性个体的自杀意念独立相关。设计：美国四个城市的艾滋病毒阳性者（旧金山弗朗西斯科、洛杉矶、密尔沃基和纽约市）在2000年7月至2002年1月之间进行筛选，以招募到一个随机行为预防试验中。利用数据，从这个筛选访问，自杀意念的比率和相关因素进行了检查，在一个不同的样本2909 HIV阳性individuals.Methods：使用二元Logistic回归研究网站，人口统计学特征，疾病相关的负担，酒精和物质的使用，以及心理社会因素进入自杀意念的预测。因此，这种横截面模型研究了每个因素的独立影响。结果：大约五分之一（19%）的参与者报告说，在过去的一周自杀的想法。我们观察到，那些不是异性恋的参与者，将艾滋病毒相关症状和药物副作用评定为更严重，报告经常使用大麻，并描述抑郁症的情感症状升高的参与者更有可能报告自杀意念。相反，参与者谁确定为西班牙裔/拉丁裔，个人在一个主要的浪漫关系，和那些谁报告更大的自我效能感应对不太可能报告自杀ideation.Conclusion：自杀意念之间的HIV阳性个体是比较常见的，是与多种因素。这些独立的相关性可能有助于识别自杀意念风险增加的HIV阳性个体，以便他们可以定期进行评估，并在适当时进行心理治疗。(C)2007年利平科特威廉姆斯&威尔金斯。
Objectives: The present investigation sought to determine the extent to which demographic characteristics, illness-related burdens, alcohol and other substance use, and psychosocial factors are independently associated with suicidal ideation in HIV-positive individuals.Design: HIV-positive individuals in four US cities (San Francisco, Los Angeles, Milwaukee, and New York City) were screened between July 2000 and January 2002 for recruitment into a randomized behavioral prevention trial. Utilizing data from this screening visit, rates and correlates of suicidal ideation were examined in a diverse sample of 2909 HIV-positive individuals.Methods: Using binary logistic regression study sites, demographic characteristics, illness-related burdens, alcohol and substance use, and psychosocial factors were entered as predictors of suicidal ideation. This cross-sectional model thus examined the independent effects of each factor.Results: Approximately one-fifth (19%) of participants reported thoughts of suicide in the past week. We observed that participants who were not heterosexual, rated HIV-related symptoms and medication side effects as more severe, reported regular marijuana use, and described elevated affective symptoms of depression were those who were more likely to report suicidal ideation. Conversely, participants who identified as Hispanic/Latino, individuals in a primary romantic relationship, and those who reported greater self-efficacy for coping were less likely to report suicidal ideation.Conclusion: Suicidal ideation among HIV-positive individuals is relatively common and is associated with multiple factors. These independent correlates may assist with identifying HIV-positive individuals who are at increased risk of suicidal ideation so that they may be assessed regularly and referred for psychological treatment when appropriate. (C) 2007 Lippincott Williams & Wilkins.