Apathy and suicide-related ideation 3 months after stroke: A cross-sectional study

W.K. Tang, L. Caeiro, C.G. Lau, H. Liang, V. Mok, Gabor Ungvari, K.S. Wong

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    7 Citations (Scopus)

    Abstract

    © Tang et al.; licensee BioMed Central. Background: Both apathy and suicide are common in poststroke patients. However, the association between poststroke apathy and suicide-related ideation (SI) in Chinese stroke patients is not clear and poorly understood. The aim of this study was to examine the association between apathy and SI in stroke. Methods: A cross-sectional study was conducted to investigate the association in 518 stroke survivors from Acute Stroke Unit of the Prince of Wales Hospital in Hong Kong. Geriatric Mental State Examination-Version A (GMS) and Neuropsychiatric Inventory-apathy subscale (NPI-apathy) were employed to assess poststroke SI and apathy, respectively. Patients' clinical characteristics were obtained with the following scales: the National Institutes of Health Stroke Scale (NIHSS), the Mini-Mental State Examination (MMSE), and the Geriatric Depression Scale (GDS). Results: Thirty-two (6.2%) stroke survivors reported SI. The SI group had a significantly higher frequency of NPI-apathy than the non-SI group (31.2% vs 5.3%, p <0.001). The SI group also had higher GDS scores (10.47 ± 3.17 vs 4.24 ± 3.71, p <0.001). Regression analysis revealed that NPI-apathy (OR 2.955, 95% CI 1.142-7.647, p = 0.025) was a significant predictor of SI. The GDS score also predicted SI (OR 1.436, 95% CI 1.284-1.606, p <0.001). Conclusions: The current findings show that poststroke apathy is an independent predictor of SI 3 months after stroke. Early screening for and intervention targeting apathy through medication and psychological treatments may be necessary to improve stroke patients' apathy and reduce SI.
    Original languageEnglish
    Pages (from-to)1-5
    JournalBMC Neurology
    Volume15
    Issue number60
    DOIs
    Publication statusPublished - 2015

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    Apathy
    Suicide
    Cross-Sectional Studies
    Stroke
    Geriatrics
    Depression
    Equipment and Supplies
    Survivors
    Wales
    National Institutes of Health (U.S.)
    Hong Kong
    Regression Analysis

    Cite this

    Tang, W.K. ; Caeiro, L. ; Lau, C.G. ; Liang, H. ; Mok, V. ; Ungvari, Gabor ; Wong, K.S. / Apathy and suicide-related ideation 3 months after stroke: A cross-sectional study. In: BMC Neurology. 2015 ; Vol. 15, No. 60. pp. 1-5.
    @article{5a29d18583cc4bb8be9bf6b950b985da,
    title = "Apathy and suicide-related ideation 3 months after stroke: A cross-sectional study",
    abstract = "{\circledC} Tang et al.; licensee BioMed Central. Background: Both apathy and suicide are common in poststroke patients. However, the association between poststroke apathy and suicide-related ideation (SI) in Chinese stroke patients is not clear and poorly understood. The aim of this study was to examine the association between apathy and SI in stroke. Methods: A cross-sectional study was conducted to investigate the association in 518 stroke survivors from Acute Stroke Unit of the Prince of Wales Hospital in Hong Kong. Geriatric Mental State Examination-Version A (GMS) and Neuropsychiatric Inventory-apathy subscale (NPI-apathy) were employed to assess poststroke SI and apathy, respectively. Patients' clinical characteristics were obtained with the following scales: the National Institutes of Health Stroke Scale (NIHSS), the Mini-Mental State Examination (MMSE), and the Geriatric Depression Scale (GDS). Results: Thirty-two (6.2{\%}) stroke survivors reported SI. The SI group had a significantly higher frequency of NPI-apathy than the non-SI group (31.2{\%} vs 5.3{\%}, p <0.001). The SI group also had higher GDS scores (10.47 ± 3.17 vs 4.24 ± 3.71, p <0.001). Regression analysis revealed that NPI-apathy (OR 2.955, 95{\%} CI 1.142-7.647, p = 0.025) was a significant predictor of SI. The GDS score also predicted SI (OR 1.436, 95{\%} CI 1.284-1.606, p <0.001). Conclusions: The current findings show that poststroke apathy is an independent predictor of SI 3 months after stroke. Early screening for and intervention targeting apathy through medication and psychological treatments may be necessary to improve stroke patients' apathy and reduce SI.",
    author = "W.K. Tang and L. Caeiro and C.G. Lau and H. Liang and V. Mok and Gabor Ungvari and K.S. Wong",
    year = "2015",
    doi = "10.1186/s12883-015-0323-3",
    language = "English",
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    Apathy and suicide-related ideation 3 months after stroke: A cross-sectional study. / Tang, W.K.; Caeiro, L.; Lau, C.G.; Liang, H.; Mok, V.; Ungvari, Gabor; Wong, K.S.

    In: BMC Neurology, Vol. 15, No. 60, 2015, p. 1-5.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Apathy and suicide-related ideation 3 months after stroke: A cross-sectional study

    AU - Tang, W.K.

    AU - Caeiro, L.

    AU - Lau, C.G.

    AU - Liang, H.

    AU - Mok, V.

    AU - Ungvari, Gabor

    AU - Wong, K.S.

    PY - 2015

    Y1 - 2015

    N2 - © Tang et al.; licensee BioMed Central. Background: Both apathy and suicide are common in poststroke patients. However, the association between poststroke apathy and suicide-related ideation (SI) in Chinese stroke patients is not clear and poorly understood. The aim of this study was to examine the association between apathy and SI in stroke. Methods: A cross-sectional study was conducted to investigate the association in 518 stroke survivors from Acute Stroke Unit of the Prince of Wales Hospital in Hong Kong. Geriatric Mental State Examination-Version A (GMS) and Neuropsychiatric Inventory-apathy subscale (NPI-apathy) were employed to assess poststroke SI and apathy, respectively. Patients' clinical characteristics were obtained with the following scales: the National Institutes of Health Stroke Scale (NIHSS), the Mini-Mental State Examination (MMSE), and the Geriatric Depression Scale (GDS). Results: Thirty-two (6.2%) stroke survivors reported SI. The SI group had a significantly higher frequency of NPI-apathy than the non-SI group (31.2% vs 5.3%, p <0.001). The SI group also had higher GDS scores (10.47 ± 3.17 vs 4.24 ± 3.71, p <0.001). Regression analysis revealed that NPI-apathy (OR 2.955, 95% CI 1.142-7.647, p = 0.025) was a significant predictor of SI. The GDS score also predicted SI (OR 1.436, 95% CI 1.284-1.606, p <0.001). Conclusions: The current findings show that poststroke apathy is an independent predictor of SI 3 months after stroke. Early screening for and intervention targeting apathy through medication and psychological treatments may be necessary to improve stroke patients' apathy and reduce SI.

    AB - © Tang et al.; licensee BioMed Central. Background: Both apathy and suicide are common in poststroke patients. However, the association between poststroke apathy and suicide-related ideation (SI) in Chinese stroke patients is not clear and poorly understood. The aim of this study was to examine the association between apathy and SI in stroke. Methods: A cross-sectional study was conducted to investigate the association in 518 stroke survivors from Acute Stroke Unit of the Prince of Wales Hospital in Hong Kong. Geriatric Mental State Examination-Version A (GMS) and Neuropsychiatric Inventory-apathy subscale (NPI-apathy) were employed to assess poststroke SI and apathy, respectively. Patients' clinical characteristics were obtained with the following scales: the National Institutes of Health Stroke Scale (NIHSS), the Mini-Mental State Examination (MMSE), and the Geriatric Depression Scale (GDS). Results: Thirty-two (6.2%) stroke survivors reported SI. The SI group had a significantly higher frequency of NPI-apathy than the non-SI group (31.2% vs 5.3%, p <0.001). The SI group also had higher GDS scores (10.47 ± 3.17 vs 4.24 ± 3.71, p <0.001). Regression analysis revealed that NPI-apathy (OR 2.955, 95% CI 1.142-7.647, p = 0.025) was a significant predictor of SI. The GDS score also predicted SI (OR 1.436, 95% CI 1.284-1.606, p <0.001). Conclusions: The current findings show that poststroke apathy is an independent predictor of SI 3 months after stroke. Early screening for and intervention targeting apathy through medication and psychological treatments may be necessary to improve stroke patients' apathy and reduce SI.

    U2 - 10.1186/s12883-015-0323-3

    DO - 10.1186/s12883-015-0323-3

    M3 - Article

    VL - 15

    SP - 1

    EP - 5

    JO - BMC Neurology

    JF - BMC Neurology

    SN - 1471-2377

    IS - 60

    ER -