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February 2, 1990, Vol 263, No. 5 >
ARTICLE | February 2, 1990

Suicidal Ideation and HIV Testing FREE

Samuel Perry, MD; Lawrence Jacobsberg, MD, PhD; Baruch Fishman, PhD
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Reprint requests to 525 E 68th St, New York, NY 10021 (Dr Perry).


JAMA. 1990;263(5):679-682. doi:10.1001/jama.1990.03440050073036
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References

To examine the effect of human immunodeficiency virus antibody testing on suicidal ideation among physically asymptomatic subjects at perceived risk for infection, 244 men and 57 women completed the Beck Depression Inventory 2 weeks before and 1 week and 2 months after notification. All subjects received extensive pretest and posttest counseling. Among the 49 seropositive subjects, rates of suicidal ideation on item 9 of the Beck Depression Inventory were 28.6% at entry and 27.1% and 16.3% at the two follow-up assessments; none reported increased suicidal ideation at 2 months. Among the 252 seronegative subjects, suicidal ideation decreased from 30.6% at entry to 17.1% and 15.9% at 1 week and 2 months after notification, respectively. Suicidal ideation correlated with modified Beck Depression Inventory scores (r=.50 to.55). Among the 4.7% of seropositives and seronegatives with suicidal wishes or intent at any assessment, average modified Beck Depression Inventory scores (mean, 17.1) suggested a clinical depression.

(JAMA. 1990;263:679-682)

REFERENCES

1 +
Glass RM.  AIDS and suicide . JAMA. 1988;;259: 1369-1370.
2 +
Faulstich ME.  Psychiatric aspects of AIDS . Am J Psychiatry. 1987;;144:551-556.
3 +
 Underscore urgency of HIV counseling: several suicides follow positive tests . Clin Psychiatry News . (October) 1987;:1.
4 +
 Living with HIV: many will need psychiatric help . Clin Psychiatry News . (November) 1987;:1.
5 +
Frierson RL, Lippmann SB.  Suicide and AIDS . Psychosomatics . 1988;;29:226-231.
6 +
Marzuk PM, Tierney H, Tardiff K, et al.  Increased risk of suicide in persons with AIDS . JAMA. 1988;;259:1333-1337.
7 +
Kizer KW, Green M, Perkins CI, Doebbert G, Hughes MJ.  AIDS and suicide in California . JAMA . 1988;;260:1881.
8 +
Henry K, Maki M, Crossley K.  Analysis of the use of HIV antibody testing in a Minnesota hospital . JAMA. 1988;;259:229-232.
9 +
Breitbart W.  Suicide in cancer patients . Oncolgy. 1987;;4:49-54.
10 +
Brown JH, Henteieff P, Barakat S, Rowe CJ.  Is it normal for terminally ill patients to desire death? Am J Psychiatry. 1986;;143:208-211.
11 +
Silberfarb PM, Maurer LH, Cronthameil CS.  Psychosocial aspects of neoplastic disease . Am J Psychiatry. 1980;;137:450-455.
12 +
Perry S, Jacobsberg L, Fishman B, Weiler PH, Gold JWM, Frances A.  Psychological response to HIV serological testing . AIDS . In press.
13 +
Beck AT, Ward CH, Mendelson M.  An inventory for measuring depression . Arch Gen Psychiatry. 1961;;4:561-571.
14 +
Perry S, Markowitz J.  Counseling for HIV testing . Hosp Community Psychiatry. 1988;;39: 731-739.
15 +
Guze S, Robins E.  Suicide and primary affective disorders . Br J Psychiatry. 1970;;117:437-438.
16 +
Friedman JMH, Asnis GM.  Assessment of suicidal behavior: a new instrument . Psychiatr Ann. 1989;;19:382-287.
17 +
Ostrow DG, Monjan A, Joseph J, et al.  HIV-related symptoms and psychological functioning in a cohort of homosexual men . Am J Psychiatry. 1989;;146:737-742.
18 +
Chuang HT, Devins GM, Hunsley J, Gill MJ.  Psychosocial distress and well-being among gay and bisexual men with human immunodeficiency virus infection . Am J Psychiatry. 1989;;46:876-880.
19 +
Centers for Disease Control.  AIDS and human immunodeficiency virus infection in the United States: 1988 update . MMWR. 1989;;38:1-38.
20 +
Cleary PD, Singer E, Rogers TF, et al.  Socio-demographic and behavioral characteristics of HIV antibody—positive blood donors . Am J Public Health . 1988;;78:953-957.
21 +
Ostrow DG, Joseph J, Soucey J, et al.  Mental health and behavioral correlates of HIV antibody testing in a cohort of gay men . AIDS Educ Prevent. 1989;;1:1-11.
22 +
Jacobsen PB, Perry SW, Hirsch DA.  Behavioral and psychological effects of HIV antibody testing . J Consult Clin Psychology . In press.
23 +
Perry S, Jacobsberg L, Fishman B, Frances A, Bobo J, Jacobsberg BK.  Psychiatric diagnosis before serological testing for the human immunodeficiency virus . Am J Psychiatry. 1990;;147:89-93.
24 +
Goodwin DW.  Alcoholism and suicide: associated factors . In: Pattison EM, Kaufman E, eds. The Encyclopedia Handbook of Alcoholism . New York, NY: Gardner Press Inc; 1982;:655-662.
25 +
Resnik HLP.  Suicide . In: Kaplan H, Freedman A, Saddock BI, eds. Comprehensive Textbook of Psychiatry . Baltimore, Md: Williams & Wilkins; 1980;:2085-2097.
26 +
Weissman M.  The epidemiology of suicide attempts: 1960-1971 . Arch Gen Psychiatry. 1974;;30: 737-746.
27 +
Zung W.  Index of potential suicide . In: Beck AT, Resnick HLP, Lettieri D, eds. The Prediction of Suicide . Baltimore, Md: Charles Press Publishers; 1974;:221-249.
28 +
Beck AT, Weisman A.  Suicidal intention: the Scale for Suicide Ideation . J Consult Clin Psychol. 1979;;47:343-352.
29 +
Stanley B, Traskman-Bendzl L, Stanley M.  The Suicide Assessment Scale: a scale evaluating change in suicidal behavior . Psychopharmacol Bull. 1986;;22:200-205.
30 +
Spitzer R.  Psychiatric diagnosis: are clinicians still necessary? Comp Psychiatry. 1983;;24:399-411.
31 +
Greist JH, Klein MH, Erdman HP, et al.  Comparison of computer- and interviewer-versions of the Diagnostic Interview Schedule . Hosp Community Psychiatry. 1987;;38:1304-1315.

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Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Glass RM.  AIDS and suicide . JAMA. 1988;;259: 1369-1370.
2 +
Faulstich ME.  Psychiatric aspects of AIDS . Am J Psychiatry. 1987;;144:551-556.
3 +
 Underscore urgency of HIV counseling: several suicides follow positive tests . Clin Psychiatry News . (October) 1987;:1.
4 +
 Living with HIV: many will need psychiatric help . Clin Psychiatry News . (November) 1987;:1.
5 +
Frierson RL, Lippmann SB.  Suicide and AIDS . Psychosomatics . 1988;;29:226-231.
6 +
Marzuk PM, Tierney H, Tardiff K, et al.  Increased risk of suicide in persons with AIDS . JAMA. 1988;;259:1333-1337.
7 +
Kizer KW, Green M, Perkins CI, Doebbert G, Hughes MJ.  AIDS and suicide in California . JAMA . 1988;;260:1881.
8 +
Henry K, Maki M, Crossley K.  Analysis of the use of HIV antibody testing in a Minnesota hospital . JAMA. 1988;;259:229-232.
9 +
Breitbart W.  Suicide in cancer patients . Oncolgy. 1987;;4:49-54.
10 +
Brown JH, Henteieff P, Barakat S, Rowe CJ.  Is it normal for terminally ill patients to desire death? Am J Psychiatry. 1986;;143:208-211.
11 +
Silberfarb PM, Maurer LH, Cronthameil CS.  Psychosocial aspects of neoplastic disease . Am J Psychiatry. 1980;;137:450-455.
12 +
Perry S, Jacobsberg L, Fishman B, Weiler PH, Gold JWM, Frances A.  Psychological response to HIV serological testing . AIDS . In press.
13 +
Beck AT, Ward CH, Mendelson M.  An inventory for measuring depression . Arch Gen Psychiatry. 1961;;4:561-571.
14 +
Perry S, Markowitz J.  Counseling for HIV testing . Hosp Community Psychiatry. 1988;;39: 731-739.
15 +
Guze S, Robins E.  Suicide and primary affective disorders . Br J Psychiatry. 1970;;117:437-438.
16 +
Friedman JMH, Asnis GM.  Assessment of suicidal behavior: a new instrument . Psychiatr Ann. 1989;;19:382-287.
17 +
Ostrow DG, Monjan A, Joseph J, et al.  HIV-related symptoms and psychological functioning in a cohort of homosexual men . Am J Psychiatry. 1989;;146:737-742.
18 +
Chuang HT, Devins GM, Hunsley J, Gill MJ.  Psychosocial distress and well-being among gay and bisexual men with human immunodeficiency virus infection . Am J Psychiatry. 1989;;46:876-880.
19 +
Centers for Disease Control.  AIDS and human immunodeficiency virus infection in the United States: 1988 update . MMWR. 1989;;38:1-38.
20 +
Cleary PD, Singer E, Rogers TF, et al.  Socio-demographic and behavioral characteristics of HIV antibody—positive blood donors . Am J Public Health . 1988;;78:953-957.
21 +
Ostrow DG, Joseph J, Soucey J, et al.  Mental health and behavioral correlates of HIV antibody testing in a cohort of gay men . AIDS Educ Prevent. 1989;;1:1-11.
22 +
Jacobsen PB, Perry SW, Hirsch DA.  Behavioral and psychological effects of HIV antibody testing . J Consult Clin Psychology . In press.
23 +
Perry S, Jacobsberg L, Fishman B, Frances A, Bobo J, Jacobsberg BK.  Psychiatric diagnosis before serological testing for the human immunodeficiency virus . Am J Psychiatry. 1990;;147:89-93.
24 +
Goodwin DW.  Alcoholism and suicide: associated factors . In: Pattison EM, Kaufman E, eds. The Encyclopedia Handbook of Alcoholism . New York, NY: Gardner Press Inc; 1982;:655-662.
25 +
Resnik HLP.  Suicide . In: Kaplan H, Freedman A, Saddock BI, eds. Comprehensive Textbook of Psychiatry . Baltimore, Md: Williams & Wilkins; 1980;:2085-2097.
26 +
Weissman M.  The epidemiology of suicide attempts: 1960-1971 . Arch Gen Psychiatry. 1974;;30: 737-746.
27 +
Zung W.  Index of potential suicide . In: Beck AT, Resnick HLP, Lettieri D, eds. The Prediction of Suicide . Baltimore, Md: Charles Press Publishers; 1974;:221-249.
28 +
Beck AT, Weisman A.  Suicidal intention: the Scale for Suicide Ideation . J Consult Clin Psychol. 1979;;47:343-352.
29 +
Stanley B, Traskman-Bendzl L, Stanley M.  The Suicide Assessment Scale: a scale evaluating change in suicidal behavior . Psychopharmacol Bull. 1986;;22:200-205.
30 +
Spitzer R.  Psychiatric diagnosis: are clinicians still necessary? Comp Psychiatry. 1983;;24:399-411.
31 +
Greist JH, Klein MH, Erdman HP, et al.  Comparison of computer- and interviewer-versions of the Diagnostic Interview Schedule . Hosp Community Psychiatry. 1987;;38:1304-1315.

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