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SUICIDAL IDEATION IN PSORIASIS
Author(s) -
GUPTA MADHULIKA A.,
SCHORK NICHOLAS J.,
GUPTA ADITYA K.,
KIRKBY SUEANN,
ELLIS CHARLES N.
Publication year - 1993
Publication title -
international journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.677
H-Index - 93
eISSN - 1365-4632
pISSN - 0011-9059
DOI - 10.1111/j.1365-4362.1993.tb02790.x
Subject(s) - psoriasis , suicidal ideation , medicine , depression (economics) , comorbidity , psychiatry , ideation , suicide prevention , poison control , rating scale , clinical psychology , dermatology , psychology , medical emergency , developmental psychology , economics , macroeconomics , cognitive science
Background . Psoriasis has been associated with depressive disease and case reports of completed suicide. Methods . 217 consenting psoriasis patients completed the Carroll Rating Scale for Depression (CRSD), a 52‐item self‐rated scale, with four of the Items directly addressing wishes to be dead and suicidal ideation. The patients also self‐rated the severity of their psoriasis. Results . 9.7% of patients reported a wish to be dead, and 5.5% reported active suicidal ideation at the time of the study. The death wish and suicidal ideation were associated with higher depression scores (P < 0.0001) and higher patient self‐ratings of psoriasis severity (P < 0,05). Patient self‐reports of psoriasis severity correlated directly with the overall depression scores (r = 0.39), P < 0.0001). Conclusions . The comorbidity between depressive symptoms, suicidal ideation, and psoriasis severity is in contrast with reports that severe depression and suicidal ideation are mainly a feature of life‐threatening medical disorders such as malignancies. Our finding may have important implications in the management of psoriasis.