Psychiatry Investig.  2019 Jan;16(1):65-70. 10.30773/pi.2018.10.22.2.

Suicidal Ideation Predicts Functioning and Quality of Life Over One Year after Acute Coronary Syndrome

• Kim JM
• Kim JW
• Kang HJ
• Bae KY
• Kim SW
• Shin IS
• Hong YJ
• Ahn Y
• Jeong MH
• Yoon JS

• KMID: 2438160
• DOI: http://doi.org/10.30773/pi.2018.10.22.2

Abstract

OBJECTIVE
This study investigated the associations of suicidal ideation (SI) evaluated within 2 weeks after an acute coronary syndrome (ACS) episode with functioning, disability, and quality of life (QOL) at a 1-year follow-up assessment.
METHODS
This study recruited 1152 consecutive patients within 2 weeks of a confirmed ACS episode; 828 of these patients who were followed up 1 year later comprised the study sample. SI was determined at baseline using the "suicidal thoughts" item of the MontgomeryÃ…sberg Depression Rating Scale. At both examinations, social and occupational functioning were measured by the Social and Occupational Functioning Assessment Scale (SOFAS), disability was estimated by World Health Organization Disability Assessment Schedule-12 (WHODAS-12), and QOL was assessed using the World Health Organization Quality of Life-Abbreviated form (WHOQOL-BREF). Baseline covariates included sociodemographic data, depression characteristics, cardiovascular risk factors, and current cardiac status.
RESULTS
SI at baseline was independently associated with less improved or decreased scores on the SOFAS, WHODAS-12, and WHOQOL-BREF over 1 year after adjusting for relevant covariates.
CONCLUSION
SI within 2 weeks of an ACS episode predicted poorer functioning and QOL at a 1-year follow-up assessment. Thus, the simple evaluation of SI in patients with recently developed ACS could be helpful in screening for functioning and QOL during the chronic phase of this disease.

Keyword

Acute coronary syndrome; Disability; Quality of life; Social adjustment; Suicidality

MeSH Terms

Acute Coronary Syndrome*
Depression
Follow-Up Studies
Humans
Mass Screening
Quality of Life*
Risk Factors
Social Adjustment
Suicidal Ideation*
World Health Organization