Open Access, Peer-reviewed
pISSN 1015-4817
eISSN 2289-0963
    J Korean Neuropsychiatr Assoc. 2017 May;56(2):68-77. Korean.
    Published online May 30, 2017.
    https://doi.org/10.4306/jknpa.2017.56.2.68
    Copyright © 2017 Korean Neuropsychiatric Association
    Original Article

    The Effect of Depression, Stress, Coping Strategies on the Suicidal Ideation in Healthy Controls and Psychiatric Patients

    Choongman Park, MD,1 Jongseok Lim, MD,1 Young Min Choi, MD, PhD,1 Jangho Park, MD, PhD,1 and Soohyun Joe, MD, PhD2
      • 1Department of Psychiatry, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
      • 2Department of Psychiatric Rehabilitation, Bugok National Hospital, Changnyeong, Korea.
    • Address for correspondence: Soohyun Joe, MD, PhD. Department of Psychiatric Rehabilitation, Bugok National Hospital, 145 Bugok-ro, Bugok-myeon, Changnyeong 50365, Korea. Tel +82-55-536-6440, Fax +82-55-536-6444, Email: biophilia1@paran.com
    Received August 09, 2016; Revised November 01, 2016; Accepted November 02, 2016.

    Abstract

    Objectives

    The aim of this study was to compare the coping strategies among healthy controls, psychotic and neurotic patients and to evaluate the predictors of suicidal ideation.

    Methods

    The study population consisted of 115 outpatients in Ulsan University Hospital and 160 healthy controls. They filled out self-report questionnaires including demographics and validated psychiatric scales for depression, perceived stress, coping strategies, and suicide ideation. An analysis of the covariance was used to compare the clinical data among the groups. Stepwise multiple regression analysis was performed to estimate the effects of coping strategies and depression on the risk for suicidal ideation.

    Results

    Compared to the controls, the psychosis group used less active coping, and the neurosis group used more self-blame coping strategies. In healthy controls, suicidal ideation was predicted by depression, female gender, and using more self-blame coping. Although planning in psychosis was a protective factor, acceptance and self-blame in psychosis and behavioral disengagement in neurosis was a risk factor for suicidal ideation.

    Conclusion

    Patients with psychotic and neurotic disorders use different coping strategies to deal with their distress and some of those are risk factors for suicidal ideation. Therefore, improving coping skills will be helpful for preventing suicide by alleviating the levels of stress and providing more effective emotion regulation.

    Keywords
    Stress; Coping; Depression; Suicide; Psychosis; Neurosis

    Tables

    Table 1
    ICD-10 diagnosis code of clinical group

    Table 2
    Sociodemographic characteristics of study subjects

    Table 3
    Clinical characteristics of participants

    Table 4
    Stepwise multiple regression analysis for variables predicting suicidal ideation

    Notes

    Conflicts of Interest:The authors have no financial conflicts of interest.

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    MeSH Terms
    Adaptation, Psychological
    Demography
    Depression*
    Female
    Humans
    Neurotic Disorders
    Outpatients
    Protective Factors
    Psychotic Disorders
    Risk Factors
    Suicidal Ideation*
    Suicide
    Ulsan
    Weights and Measures
    Metrics
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    Tables
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