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Frequency and correlates of suicidal ideation in preoperative cardiac surgery patients

Published online by Cambridge University Press:  13 August 2021

O. Nikolaeva ,
E. Nikolaev ,
D. Hartfelder ,
E. Lazareva ,
S. Petunova  and
N. Grigorieva
O. Nikolaeva
Affiliation:
Cardiosurgery, Republic Cardiology Clinic, Cheboksary, Russian Federation
E. Nikolaev*
Affiliation:
Medical Faculty, Ulianov Chuvash State University, Cheboksary, Russian Federation
D. Hartfelder
Affiliation:
Social And Clinical Psychology, Ulianov Chuvash State University, Cheboksary, Russian Federation
E. Lazareva
Affiliation:
Social And Clinical Psychology, Ulianov Chuvash State University, Cheboksary, Russian Federation
S. Petunova
Affiliation:
Social And Clinical Psychology, Ulianov Chuvash State University, Cheboksary, Russian Federation
N. Grigorieva
Affiliation:
Social And Clinical Psychology, Ulianov Chuvash State University, Cheboksary, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

Depressive disorders are common for cardiac patients; however, a surgical intervention enhances their distress. How typical is suicidal ideation for cardiac surgery patients and with what clinical and psychological signs does it correlate?

Objectives

To estimate the frequency of suicidal ideation and correlations between suicidal ideation, clinical and psychological manifestations in cardiac surgery patients.

Methods

We examined 60 cardiac surgery patients, aged 25 – 65, prior to their operation. The Pierson correlation between manifestation of suicidal ideation, clinical and psychological signs was calculated with p<0.05.

Results

We revealed suicidal ideation in 3.33% of cardiac surgery patients. Its intensity credibly correlated with the frequency of taking alcohol (r=.32), as well as with manifestation of dysorexia (r=.59), dissatisfaction with life (r=.53), general level of depression (r=.49), sleeping disorders (r=.44), sense of guilt (r=.43), asthenia (r=.31), self-abhorrence (r=.29), and irritability(r=.29). A higher level of suicidal ideation correlated with a lower index of Positive-Past in their personal time perspective (r=-.27), which revealed itself in a patient having lack of positive impressions and recollections of their past life, which reduced a person’s adaptability in the present.

Conclusions

The frequency of suicidal ideation in preoperative cardiac surgery patients is not high. Nevertheless, we should bear in mind that high suicidal risk is characteristic for patients with not only depression, but also alcohol problems, as well as for those who have manifestations of negative attitude to their past.

Disclosure

No significant relationships.

Keywords

Suicidal ideationSuicidal risktime perspectivecardiac surgery patients
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S830
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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