Suicide outcomes after resective epilepsy surgery

Hamada Hamid; Orrin Devinsky; Barbara G. Vickrey; Anne T. Berg; Carl W. Bazil; John T. Langfitt; Thaddeus S Walczak; Michael R. Sperling; Shlomo Shinnar; Susan S. Spencer

doi:10.1016/j.yebeh.2010.12.031

Suicide outcomes after resective epilepsy surgery

Hamada Hamid, Orrin Devinsky, Barbara G. Vickrey, Anne T. Berg, Carl W. Bazil, John T. Langfitt, Thaddeus S Walczak, Michael R. Sperling, Shlomo Shinnar, Susan S. Spencer

Neurology

Research output: Contribution to journal › Article › peer-review

25 Scopus citations

Abstract

People with epilepsy have a higher risk for suicide than people without epilepsy. The relationship between seizure control and suicide is controversial. A standardized protocol to record history, diagnostic testing, and neuropsychiatric assessments was administered. The Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) were administered presurgically and yearly for up to 5. years. Among the 396 enrolled, 4 of 27 deaths were attributed to suicide. The standardized mortality ratio, compared with suicides in the U.S. population and adjusted for age and gender, was 13.3 (95% CI. = 3.6-34.0). Only one patient had a BDI score suggestive of severe depression (BDI. = 33), one had depressive symptoms that did not the meet the depressive range (BDI. = 7), and the other two reported no depressive symptoms. Two of the patients reported moderate to severe anxiety symptoms (BAI. = 17 and 21, respectively). Suicide may occur after epilepsy surgery, even when patients report excellent seizure control.

Original language	English (US)
Pages (from-to)	462-464
Number of pages	3
Journal	Epilepsy and Behavior
Volume	20
Issue number	3
DOIs	https://doi.org/10.1016/j.yebeh.2010.12.031
State	Published - Mar 2011

Bibliographical note

Funding Information:
The study was funded by the National Institute of Neurological Disorders and Stroke, RO1 NS32375. Dr. Hamid's research was supported by the National EpiFellows Foundation and an Epilepsy Foundation Behavioral Sciences Postdoctoral Fellowship.

Keywords

Depression
Epilepsy
Mortality
Neurosurgery
Suicide

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.yebeh.2010.12.031

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title = "Suicide outcomes after resective epilepsy surgery",

abstract = "People with epilepsy have a higher risk for suicide than people without epilepsy. The relationship between seizure control and suicide is controversial. A standardized protocol to record history, diagnostic testing, and neuropsychiatric assessments was administered. The Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) were administered presurgically and yearly for up to 5. years. Among the 396 enrolled, 4 of 27 deaths were attributed to suicide. The standardized mortality ratio, compared with suicides in the U.S. population and adjusted for age and gender, was 13.3 (95% CI. = 3.6-34.0). Only one patient had a BDI score suggestive of severe depression (BDI. = 33), one had depressive symptoms that did not the meet the depressive range (BDI. = 7), and the other two reported no depressive symptoms. Two of the patients reported moderate to severe anxiety symptoms (BAI. = 17 and 21, respectively). Suicide may occur after epilepsy surgery, even when patients report excellent seizure control.",

keywords = "Depression, Epilepsy, Mortality, Neurosurgery, Suicide",

author = "Hamada Hamid and Orrin Devinsky and Vickrey, {Barbara G.} and Berg, {Anne T.} and Bazil, {Carl W.} and Langfitt, {John T.} and Walczak, {Thaddeus S} and Sperling, {Michael R.} and Shlomo Shinnar and Spencer, {Susan S.}",

note = "Funding Information: The study was funded by the National Institute of Neurological Disorders and Stroke, RO1 NS32375. Dr. Hamid's research was supported by the National EpiFellows Foundation and an Epilepsy Foundation Behavioral Sciences Postdoctoral Fellowship.",

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AU - Vickrey, Barbara G.

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AU - Bazil, Carl W.

AU - Langfitt, John T.

AU - Walczak, Thaddeus S

AU - Sperling, Michael R.

AU - Shinnar, Shlomo

AU - Spencer, Susan S.

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AB - People with epilepsy have a higher risk for suicide than people without epilepsy. The relationship between seizure control and suicide is controversial. A standardized protocol to record history, diagnostic testing, and neuropsychiatric assessments was administered. The Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) were administered presurgically and yearly for up to 5. years. Among the 396 enrolled, 4 of 27 deaths were attributed to suicide. The standardized mortality ratio, compared with suicides in the U.S. population and adjusted for age and gender, was 13.3 (95% CI. = 3.6-34.0). Only one patient had a BDI score suggestive of severe depression (BDI. = 33), one had depressive symptoms that did not the meet the depressive range (BDI. = 7), and the other two reported no depressive symptoms. Two of the patients reported moderate to severe anxiety symptoms (BAI. = 17 and 21, respectively). Suicide may occur after epilepsy surgery, even when patients report excellent seizure control.

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Suicide outcomes after resective epilepsy surgery

Abstract

Bibliographical note

Keywords

UN SDGs

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