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Düşünen Adam. 2010; 23(3): 151-157


A promising tool that can predict suicide: the hospital anxiety and depression scale

Oğuz Karamustafalıoğlu, Başak Özcelik, Bahadır Bakım, Yasemin Cengiz Ceylan, Burcu Göksan Yavuz, Tuğba Güven, Sinem Gönenli.

Abstract
Objective: The aim of this study was to compare the anxiety and depressive symptoms between the suicide attempters and non-suicide attempters and to determine the differences in the Hospital Anxiety and Depression Scale (HADS) items inpatient between the two groups. Method: The study participants were age-matched 50 suicide attempters who were admitted to Şişli Etfal Research and Training Hospital, and 50 inpatients who were hospitalized due to their general medical complaints. The sociodemographic form, the HADS and the Mini-International Neuropsychiatric Interview (MINI) were administered. Results: The suicide attempters had significantly higher rate of previous psychiatric history p=0.017, psychiatric hospitalization p=0.041, family history p=0.023, and alcohol/substance use p=0.004. The suicide attempters scored significantly higher on tension, anhedonia, fear, loss of humor, restlessness, and lack of enjoyment. Conclusions: Clinicians should take into account the presence of previous psychiatric history, family history, substance/alcohol use, presence of anhedonia, lack of enjoyment, loss of humor, fear, tension and restlessness. The HADS could be a powerful tool to assess the suicide risk other than psychiatric evaluation.

Key words: Suicide predictors, hospital anxiety depression scale, bipolar disorder, restlessness, anhedonia



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