Determining the factors associated with suicidal thoughts in outpatients referred to a specialized psychiatric facility
Abstract Aim Identifying the underlying factors that trigger suicidal ideation and understanding their interactive effects is essential for predicting suicidal thoughts. This study seeks to explore the psychopathological, socioeconomic, and demographic determinants of suicidal ideation in outpatient...
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| Format: | Article |
| Language: | English |
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Wiley
2025-06-01
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| Series: | PCN Reports |
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| Online Access: | https://doi.org/10.1002/pcn5.70096 |
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| author | Alireza Haji Seyed Javadi Adeleh Askari Diarjani Ali Akbar Shafikhani |
| author_facet | Alireza Haji Seyed Javadi Adeleh Askari Diarjani Ali Akbar Shafikhani |
| author_sort | Alireza Haji Seyed Javadi |
| collection | DOAJ |
| description | Abstract Aim Identifying the underlying factors that trigger suicidal ideation and understanding their interactive effects is essential for predicting suicidal thoughts. This study seeks to explore the psychopathological, socioeconomic, and demographic determinants of suicidal ideation in outpatients referred to a specialized psychiatric clinic. Methods A cross‐sectional study was conducted at the psychiatric clinic of the 22nd Bahman Hospital in Qazvin, Iran, from 2020 to 2021. The study comprised 288 participants (78 with suicidal ideation and 210 without). All participants completed the Symptom Checklist‐90‐Revised (SCL‐90‐R) and Kuppuswamy's Socioeconomic Status Scale. Demographic and clinical data were collected and analyzed using appropriate statistical methods. Results Individuals with suicidal ideation demonstrated significantly higher SCL‐90‐R scores compared to those without (150.84 ± 37.87 vs. 119.13 ± 33.81, respectively, p < 0.001). Among the SCL‐90‐R subscales, Obsessive‐Compulsive Disorder, Psychoticism, Depression, and Somatization exhibited the strongest correlations with suicidal ideation (p < 0.001). Significant risk factors for suicidal ideation included elevated SCL‐90‐R scores (odds ratio [OR] = 1.04, 95% confidence interval [CI]: 1.02–1.05), marital status (being married vs single) (OR = 0.13, 95% CI: 0.05–0.29), education level below diploma (OR = 2.95, 95% CI: 1.17–7.57), low socioeconomic status (OR = 5.80, 95% CI: 1.68–20.44), presence of personality disorder (OR = 3.86, 95% CI: 1.03–14.63), and major depression (OR = 6.40, 95% CI: 1.89–22.42) (p < 0.05). Conclusion The results indicate that psychopathological symptoms, educational attainment, marital status, and socioeconomic challenges may contribute significantly to the development of suicidal ideation. It is recommended that specialized care clinics prioritize the assessment of suicidal thoughts to facilitate the implementation of appropriate preventive measures. |
| format | Article |
| id | doaj-art-327868a6777f4a49a28d9acbac98922e |
| institution | Kabale University |
| issn | 2769-2558 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | PCN Reports |
| spelling | doaj-art-327868a6777f4a49a28d9acbac98922e2025-08-20T03:30:08ZengWileyPCN Reports2769-25582025-06-0142n/an/a10.1002/pcn5.70096Determining the factors associated with suicidal thoughts in outpatients referred to a specialized psychiatric facilityAlireza Haji Seyed Javadi0Adeleh Askari Diarjani1Ali Akbar Shafikhani2Clinical Research Development Unit Qazvin University of Medical Sciences 22 Bahman Hospital Qazvin IranClinical Research Development Unit Qazvin University of Medical Sciences 22 Bahman Hospital Qazvin IranDepartment of Occupational Health Engineering Qazvin University of Medical Sciences Qazvin IranAbstract Aim Identifying the underlying factors that trigger suicidal ideation and understanding their interactive effects is essential for predicting suicidal thoughts. This study seeks to explore the psychopathological, socioeconomic, and demographic determinants of suicidal ideation in outpatients referred to a specialized psychiatric clinic. Methods A cross‐sectional study was conducted at the psychiatric clinic of the 22nd Bahman Hospital in Qazvin, Iran, from 2020 to 2021. The study comprised 288 participants (78 with suicidal ideation and 210 without). All participants completed the Symptom Checklist‐90‐Revised (SCL‐90‐R) and Kuppuswamy's Socioeconomic Status Scale. Demographic and clinical data were collected and analyzed using appropriate statistical methods. Results Individuals with suicidal ideation demonstrated significantly higher SCL‐90‐R scores compared to those without (150.84 ± 37.87 vs. 119.13 ± 33.81, respectively, p < 0.001). Among the SCL‐90‐R subscales, Obsessive‐Compulsive Disorder, Psychoticism, Depression, and Somatization exhibited the strongest correlations with suicidal ideation (p < 0.001). Significant risk factors for suicidal ideation included elevated SCL‐90‐R scores (odds ratio [OR] = 1.04, 95% confidence interval [CI]: 1.02–1.05), marital status (being married vs single) (OR = 0.13, 95% CI: 0.05–0.29), education level below diploma (OR = 2.95, 95% CI: 1.17–7.57), low socioeconomic status (OR = 5.80, 95% CI: 1.68–20.44), presence of personality disorder (OR = 3.86, 95% CI: 1.03–14.63), and major depression (OR = 6.40, 95% CI: 1.89–22.42) (p < 0.05). Conclusion The results indicate that psychopathological symptoms, educational attainment, marital status, and socioeconomic challenges may contribute significantly to the development of suicidal ideation. It is recommended that specialized care clinics prioritize the assessment of suicidal thoughts to facilitate the implementation of appropriate preventive measures.https://doi.org/10.1002/pcn5.70096mental disorderspsychopathologysocioeconomic factorssuicidal ideation |
| spellingShingle | Alireza Haji Seyed Javadi Adeleh Askari Diarjani Ali Akbar Shafikhani Determining the factors associated with suicidal thoughts in outpatients referred to a specialized psychiatric facility PCN Reports mental disorders psychopathology socioeconomic factors suicidal ideation |
| title | Determining the factors associated with suicidal thoughts in outpatients referred to a specialized psychiatric facility |
| title_full | Determining the factors associated with suicidal thoughts in outpatients referred to a specialized psychiatric facility |
| title_fullStr | Determining the factors associated with suicidal thoughts in outpatients referred to a specialized psychiatric facility |
| title_full_unstemmed | Determining the factors associated with suicidal thoughts in outpatients referred to a specialized psychiatric facility |
| title_short | Determining the factors associated with suicidal thoughts in outpatients referred to a specialized psychiatric facility |
| title_sort | determining the factors associated with suicidal thoughts in outpatients referred to a specialized psychiatric facility |
| topic | mental disorders psychopathology socioeconomic factors suicidal ideation |
| url | https://doi.org/10.1002/pcn5.70096 |
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