Multiple sclerosis and suicide

Mortality rates are elevated in people with multiple sclerosis (MS) relative to the general population. There is, however, some uncertainty whether suicide contributes to this. Epidemiological data suggest that the standardized mortality ratio (SMR) for suicide in MS is approximately twice that of t...

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Bibliographic Details
Published in:Multiple sclerosis Vol. 23; no. 7; p. 923
Main Authors: Feinstein, Anthony, Pavisian, Bennis
Format: Journal Article
Language:English
Published: England 01.06.2017
Subjects:
Age Factors
Cost of Illness
Female
Health Status
Humans
Male
Mental Health
Multiple Sclerosis - mortality
Multiple Sclerosis - physiopathology
Multiple Sclerosis - psychology
Multiple Sclerosis - therapy
Risk Factors
Sex Factors
Suicidal Ideation
Suicide - prevention & control
Suicide - psychology
Multiple sclerosis
standardized mortality ratio
suicide
ISSN:1477-0970, 1477-0970
Online Access:Get more information
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Summary:Mortality rates are elevated in people with multiple sclerosis (MS) relative to the general population. There is, however, some uncertainty whether suicide contributes to this. Epidemiological data suggest that the standardized mortality ratio (SMR) for suicide in MS is approximately twice that of the general population with younger males in the first few years following diagnosis most at risk. Rates of suicidal intent, a potential harbinger of more self-destructive behavior, are also elevated, but the frequency with which intent is followed by suicide is not known. Depression, severity of depression, social isolation, and alcohol abuse are associated with thoughts of suicide. The variables linked with suicide and suicidal intent are therefore well defined and should be readily available from routine clinical inquiry. While vigilance on the part of clinicians is required, particularly in the context of high-risk patients, it is also recognized that prevention is dependent on full disclosure of intent.
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ISSN:1477-0970
1477-0970
DOI:10.1177/1352458517702553