Suicide outcomes after resective epilepsy surgery.
Publication/Presentation Date
3-1-2011
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.
Volume
20
Issue
3
First Page
462
Last Page
464
ISSN
1525-5069
Published In/Presented At
Hamid, H., Devinsky, O., Vickrey, B. G., Berg, A. T., Bazil, C. W., Langfitt, J. T., Walczak, T. S., Sperling, M. R., Shinnar, S., & Spencer, S. S. (2011). Suicide outcomes after resective epilepsy surgery. Epilepsy & behavior : E&B, 20(3), 462–464. https://doi.org/10.1016/j.yebeh.2010.12.031
Disciplines
Medicine and Health Sciences
PubMedID
21334984
Department(s)
Department of Medicine
Document Type
Article