Suicidality in primary care patients with somatoform disorders

Jan-Frederic Wiborg; Dorothee Gieseler; Alexandra B Fabisch; Katharina Voigt; Anne Lautenbach; Bernd Löwe

doi:10.1097/PSY.0000000000000013

Suicidality in primary care patients with somatoform disorders

Standard

Suicidality in primary care patients with somatoform disorders. / Wiborg, Jan-Frederic; Gieseler, Dorothee; Fabisch, Alexandra B; Voigt, Katharina; Lautenbach, Anne; Löwe, Bernd.

in: PSYCHOSOM MED, Jahrgang 75, Nr. 9, 2013, S. 800-6.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Wiborg, J-F, Gieseler, D, Fabisch, AB, Voigt, K, Lautenbach, A & Löwe, B 2013, 'Suicidality in primary care patients with somatoform disorders', PSYCHOSOM MED, Jg. 75, Nr. 9, S. 800-6. https://doi.org/10.1097/PSY.0000000000000013

APA

Wiborg, J-F., Gieseler, D., Fabisch, A. B., Voigt, K., Lautenbach, A., & Löwe, B. (2013). Suicidality in primary care patients with somatoform disorders. PSYCHOSOM MED, 75(9), 800-6. https://doi.org/10.1097/PSY.0000000000000013

Vancouver

Wiborg J-F, Gieseler D, Fabisch AB, Voigt K, Lautenbach A, Löwe B. Suicidality in primary care patients with somatoform disorders. PSYCHOSOM MED. 2013;75(9):800-6. https://doi.org/10.1097/PSY.0000000000000013

Bibtex

@article{e5c40ce65f3d4df7bbc43cae887eff5b,

title = "Suicidality in primary care patients with somatoform disorders",

abstract = "OBJECTIVE: To examine rates of suicidality in primary care patients with somatoform disorders and to identify factors that might help to understand and manage active suicidal ideation in these patients.METHODS: We conducted a cross-sectional study screening 1645 primary care patients. In total, 142 patients fulfilled the criteria for a somatoform disorder. Suicidality and illness perceptions were assessed in these patients.RESULTS: Of the 142 patients, 23.9% had active suicidal ideation during the previous 6 months; 17.6% had attempted to commit suicide in the past, the majority after onset of the somatoform symptoms. We tested two models with suicidal ideation as a dependent variable. In the first model, comorbid symptoms of depression (odds ratio [OR] = 1.17, 95% confidence interval [CI] = 1.03-1.33) and previous suicide attempts (OR= 3.02, 95% CI = 1.06-8.62) were significantly associated with suicidal ideation. Comorbid symptoms of anxiety did not yield significance. Illness perceptions and age of onset of the symptoms were then added to this model to test the role of somatoform-specific factors in addition to previous factors. In the complete model, comorbid symptoms of depression (OR = 1.15, 95% CI = 1.00-1.32) and dysfunctional illness perceptions (OR = 1.06, 95% CI = 1.01-1.11) were independently associated with active suicidal ideation, whereas the other factors did not yield significance.CONCLUSIONS: According to our data, suicidality seems to be a substantial problem in primary care patients with somatoform disorders. Dysfunctional illness perceptions may play a vital role in the understanding and management of active suicidal ideation in these patients, in addition to more established factors.",

keywords = "Adolescent, Adult, Aged, Aged, 80 and over, Anxiety, Attitude to Health, Comorbidity, Depression, Epidemiologic Methods, Female, General Practice, Humans, Male, Middle Aged, Primary Health Care, Somatoform Disorders, Suicidal Ideation, Suicide, Young Adult",

author = "Jan-Frederic Wiborg and Dorothee Gieseler and Fabisch, {Alexandra B} and Katharina Voigt and Anne Lautenbach and Bernd L{\"o}we",

year = "2013",

doi = "10.1097/PSY.0000000000000013",

language = "English",

volume = "75",

pages = "800--6",

journal = "PSYCHOSOM MED",

issn = "0033-3174",

publisher = "Lippincott Williams and Wilkins",

number = "9",

}

RIS

TY - JOUR

T1 - Suicidality in primary care patients with somatoform disorders

AU - Wiborg, Jan-Frederic

AU - Gieseler, Dorothee

AU - Fabisch, Alexandra B

AU - Voigt, Katharina

AU - Lautenbach, Anne

AU - Löwe, Bernd

PY - 2013

Y1 - 2013

N2 - OBJECTIVE: To examine rates of suicidality in primary care patients with somatoform disorders and to identify factors that might help to understand and manage active suicidal ideation in these patients.METHODS: We conducted a cross-sectional study screening 1645 primary care patients. In total, 142 patients fulfilled the criteria for a somatoform disorder. Suicidality and illness perceptions were assessed in these patients.RESULTS: Of the 142 patients, 23.9% had active suicidal ideation during the previous 6 months; 17.6% had attempted to commit suicide in the past, the majority after onset of the somatoform symptoms. We tested two models with suicidal ideation as a dependent variable. In the first model, comorbid symptoms of depression (odds ratio [OR] = 1.17, 95% confidence interval [CI] = 1.03-1.33) and previous suicide attempts (OR= 3.02, 95% CI = 1.06-8.62) were significantly associated with suicidal ideation. Comorbid symptoms of anxiety did not yield significance. Illness perceptions and age of onset of the symptoms were then added to this model to test the role of somatoform-specific factors in addition to previous factors. In the complete model, comorbid symptoms of depression (OR = 1.15, 95% CI = 1.00-1.32) and dysfunctional illness perceptions (OR = 1.06, 95% CI = 1.01-1.11) were independently associated with active suicidal ideation, whereas the other factors did not yield significance.CONCLUSIONS: According to our data, suicidality seems to be a substantial problem in primary care patients with somatoform disorders. Dysfunctional illness perceptions may play a vital role in the understanding and management of active suicidal ideation in these patients, in addition to more established factors.

AB - OBJECTIVE: To examine rates of suicidality in primary care patients with somatoform disorders and to identify factors that might help to understand and manage active suicidal ideation in these patients.METHODS: We conducted a cross-sectional study screening 1645 primary care patients. In total, 142 patients fulfilled the criteria for a somatoform disorder. Suicidality and illness perceptions were assessed in these patients.RESULTS: Of the 142 patients, 23.9% had active suicidal ideation during the previous 6 months; 17.6% had attempted to commit suicide in the past, the majority after onset of the somatoform symptoms. We tested two models with suicidal ideation as a dependent variable. In the first model, comorbid symptoms of depression (odds ratio [OR] = 1.17, 95% confidence interval [CI] = 1.03-1.33) and previous suicide attempts (OR= 3.02, 95% CI = 1.06-8.62) were significantly associated with suicidal ideation. Comorbid symptoms of anxiety did not yield significance. Illness perceptions and age of onset of the symptoms were then added to this model to test the role of somatoform-specific factors in addition to previous factors. In the complete model, comorbid symptoms of depression (OR = 1.15, 95% CI = 1.00-1.32) and dysfunctional illness perceptions (OR = 1.06, 95% CI = 1.01-1.11) were independently associated with active suicidal ideation, whereas the other factors did not yield significance.CONCLUSIONS: According to our data, suicidality seems to be a substantial problem in primary care patients with somatoform disorders. Dysfunctional illness perceptions may play a vital role in the understanding and management of active suicidal ideation in these patients, in addition to more established factors.

KW - Adolescent

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Anxiety

KW - Attitude to Health

KW - Comorbidity

KW - Depression

KW - Epidemiologic Methods

KW - Female

KW - General Practice

KW - Humans

KW - Male

KW - Middle Aged

KW - Primary Health Care

KW - Somatoform Disorders

KW - Suicidal Ideation

KW - Suicide

KW - Young Adult

U2 - 10.1097/PSY.0000000000000013

DO - 10.1097/PSY.0000000000000013

M3 - SCORING: Journal article

C2 - 24149075

VL - 75

SP - 800

EP - 806

JO - PSYCHOSOM MED

JF - PSYCHOSOM MED

SN - 0033-3174

IS - 9

ER -