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Psychiatry Investig > Epub ahead of print
[Epub ahead of print]
DOI:    Published online January 7, 2019.
Suicidal Ideation Predicts Functioning and Quality of Life Over One Year after Acute Coronary Syndrome
Jae-Min Kim1, Ju-Wan Kim1, Hee-Ju Kang1, Kyung-Yeol Bae1, Sung-Wan Kim1, Il-Seon Shin1, Young Joon Hong2, Youngkeun Ahn2, Myung Ho Jeong2, Jin-Sang Yoon1
1Department of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea
2Department of Cardiology, Chonnam National University Medical School, Gwangju, Republic of Korea
Correspondence: Jin-Sang Yoon ,Tel: +82-62-220-6142, Fax: +82-62-225-2351, Email:
Received: September 26, 2018   Accepted: October 22, 2018   Published online: January 7, 2019

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.
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 MontgomeryÅsberg 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.
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.
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.
Key words   Acute coronary syndrome, Disability, Quality of life, Social adjustment, Suicidality


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