Suicidal ideation among a group of depressed outpatients


  • Banaz Adnan Saeed Department of Psychiatry, College of Dentistry, Hawler Medical University, Erbil, Iraq.



Suicidal ideation, Depression, Risk factors


Background and objective: Suicide is a common problem worldwide; the suicidal ideation is a predictor of suicide. This study aimed to shed light on the demographic as well as clinical risk factors for suicidal ideation among depressed outpatients.

Methods: A total of 100 depressed patients who visited the psychiatric outpatient department of Hawler Teaching Hospital from August 2015 to January 2016 were assessed for the suicidal ideation and risk factors of suicidal ideation by adopting standardized diagnostic and symptoms rating scales.

Results: Suicidal ideation was present in 64% of patients; significant predictors for suicidal ideations were previous suicide attempt, the severity of depression and hopelessness.

Conclusion: Suicidal ideation is highly prevalent among psychiatric outpatients with major depression. Those patients discovered to have risk factors are in great need of help to prevent future suicide.


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Norra C, Richter N, Juckel G. Sleep disturbances and suicidality: a common association to look for in clinical practise and preventive care. EPMA J2011; 2(3):295-307.

Hawton K, van Heeringen K .Suicide. Lancet 2009; 373:1372-81.

Joiner TE, Steer RA, Brown G, Beck AT, Pettit JA , Rudd MD .Worst-point suicidal plans: a dimension of suicidality predictive of past suicide attempts and eventual death by suicide. Behaviour Research and Therapy 2003; 41(12):1469-80.

Mcauliffe CA. Suicidal Ideation as an Articulation of Intent: A Focus for Suicide Prevention?. Archives of Suicide Research2002; 6(4):325-38.

Cheng IC, Hu FC, Tseng MC. Inpatient suicide in a general hospital. General Hospital Psychiatry 2009; 31(2):110-5.

Vijayakumar L, Nagaraj K, Pirkis J, Whiteford H.Suicide in developing countries (1): frequency, distribution, and association with socioeconomic indicators. Crisis 2005; 26(3):104-11.

Cheng AT, Chen TH, Chen CC, Jenkins R. Psychosocial and psychiatric risk factors for suicide Case—control psychological autopsy study. Br J Psychiatry 2000; 177(4):360-5.

Howland RH, Rush AJ, Wisniewski SR, Trivedi MH, Warden D, Fava M, et al. Concurrent anxiety and substance use disorders among outpatients with major depression: clinical features and effect on treatment outcome. Drug Alcohol Depend 2009; 99(1-3):248-60.

Bhar S, Ghahramanlou-Holloway M, Brown G, Beck AT. Self-Esteem and Suicide Ideation in Psychiatric Outpatients. Suicide Life Threat Behav 2008; 38(5):511-6.

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Text Revision. 5th ed. Washington, DC: American Psychiatric Publishing; 2013.

BeckAT, Steer RA. Manual for Beck Depression Inventory. San Antonio, TX: Psychological Corporation; 1987.

Beck AT, Steer RA. Manual for the Beck Hopelessness Scale. San Antonio, TX: Psychological Corp; 1988.

Holmes TH, RaheRH. The social readjustment rating scale. Journal of Psychosomatic Research 1967; 11(2):213-8.

Beck AT, Steer RA, Rantieri WF. Scale for suicide ideation: Psychometric properties of a self-report version. J Clin Psychology 1988; 44:499-505.

Sokero TP, Melartin TK, Rytsala HJ, Leskela US, Lestela-Mielonen PS, Isometsa ET. Suicidal ideation and attempts among psychiatric patients with major depressive disorder. J Clin Psychiatry 2003; 64(9):1094-100.

LaiFong C, Azhar Shah S, Maniam T. Predictors of suicidal ideation among depressed inpatients in a Malaysian sample. Suicidology 2012; 3:33-41.

Oquendo MA, Currier D, Mann JJ. Prospective studies of suicidal behavior in major depressive and bipolar disorders: what is the evidence for predictive risk factors?.Acta Psychiatr Scand 2006; 114 (3):151-8.

Mekonnen D, Kebede Y. The prevalence of suicidal ideation and attempts among individuals attending an adult psychiatry out-patient clinic in Gondar, Ethiopia. African Health Sciences 2011; 11(1):103-7.

VanGastel A, Schotte C, Maes M. The prediction of suicidal intent in depressed patients. Acta Psychiatr Scand 1997; 96(4):254-9.

Beck AT, Steer RA, Kovacs M, Garrison B, Hopelessness and eventual suicide: A 10-year prospective study of patients hospitalized with suicidal ideation. Am J Psychiatry 1985; 142(5):559-63.

Fawcett J, Scheftner WA, Fogg L, Clark DC, Young MA, Hedeker D, et al. Time-related predictors of suicide in major affective disorder. Am J Psychiatry 1990; 147(9):1189-94.

Pages KP1, Russo JE, Roy-Byrne PP, Ries RK, Cowley DS. Determinants of suicidal ideation: the role of substance use disorders. J Clin Psychiatry1997; 58(11):510-5.

Dahlsgaard KK, Beck AT, Brown GK. Inadequate Response to Therapy as a Predictor of Suicide. Suicide Life Threat Behav1998; 28(2):197-204.

Sokero TP, Melartin TK, Rytsälä HJ, Leskelä US, Lestelä-Mielonen PS, Isometsä ET. Prospective study of risk factors for attempted suicide among patients with DSM-IV major depressive disorder. Br J Psychiatry 2005; 186:314-8.

Cavanagh JT, Carson AJ, Sharpe M, Lawrie SM. Psychological autopsy studies of suicide: a systematic review. Psychological Medicine 2003; 33(3):395-405.

Ovuga E, Boardman J, Wassermann D. Prevalence of Suicide Ideation in Two Districts of Uganda. Arch Suicide Res 2005; 9:321-32.

Nock MK, Borges G, Bromet EJ, Alonso J, Angermeyer M, Beautrais Aetal. Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. Br J Psychiatry 2008; 192(2):98-105.




How to Cite

Saeed, B. A. (2017). Suicidal ideation among a group of depressed outpatients. Zanco Journal of Medical Sciences (Zanco J Med Sci), 21(3), 1907–1914.



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