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Journal Article Annotations
2021, 1st Quarter
Annotations by Liliya Gershengoren, MD
March, 2021
The finding:
There is a 73% higher risk of suicide in stroke survivors compared with individuals without a history of stoke. As follow-up time increases, the risk of suicide decreases. The risk of suicide attempts was found to be higher than the risk of death by suicide.
Strength and weaknesses:
One strength of the study is its particular focus on risk of suicide rather than suicidal ideation in stroke survivors. Overall, the authors reviewed data pertaining to over 2 million stroke survivors. The article reviewed only English language studies. There is a chance of biased self-reported measures of suicide attempts as a result of stigma associated with mental illness. The risk factors for poststroke suicide were not identified.
Relevance:
CL Psychiatrists are often asked to evaluate stroke survivors due to concerns for mood symptoms. This article highlights the importance of considering stroke as a risk factor for suicide.
Type of study:
Systematic review or meta-analysis