Hopelessness and Suicidal Ideation among Patients with Depression and Neurotic Disorders Attending a Tertiary Care Centre at Eastern Nepal

  • Rita Pokharel Department of Psychiatric Nursing, B.P. Koirala Institute of Health Sciences
  • Sami Lama Department of Psychiatric Nursing, B.P. Koirala Institute of Health Sciences
  • Baikuntha Raj Adhikari Department of Psychiatry, B.P. Koirala Institute of Health Sciences

Abstract

Background: Hopelessness is thought to result from a negative appraisal system and interacts with, and worsens, appraisals of defeat and trap which in turn interact with suicide schema and lead to suicidal behaviour. This study was intended to assess hopelessness and suicidal ideation among patients with depression and neurotic disorders at tertiary care centre of eastern Nepal.
Methods: A cross sectional design included 70 respondents by purposive sampling technique. Beck Hopelessness Scale and Scale of Suicidal Ideation were used to measure hopelessness and suicidal ideation, respectively. Data were analyzed using SPSS statistical software. Pearson chi-square, binary logistic regression and Spearmans’ rho, test were applied at 95% confidence interval.
Results: Mean ± SD age was 32.8 ± 13.5 years. Most (62.8%) of the patients were female and with the diagnosis of depression. Majority (66%) of the patients had hopelessness. There was no significant difference in hopelessness among
patients with depression and neurotic disorders. About 17% respondents had suicidal ideation, among them 82.4% were
female. There was no significant difference of suicidal ideation among patients with depression and neurotic disorders (p=0.013). Significant positive correlation between hopelessness and suicidal ideation was found (p=0.001). Binary
logistic regression revealed hopelessness was independently related to income and family history of mental illness. Similarly, suicidal ideation was independently related to depression and family history of mental illness.
Conclusions: Female respondents, people living under poverty and positive family history of mental illness had more
hopelessness and suicidal ideation.
Keywords: Anxiety; depression; hopelessness; neurotic; suicidal ideation.

Published
2017-03-14
How to Cite
POKHAREL, Rita; LAMA, Sami; ADHIKARI, Baikuntha Raj. Hopelessness and Suicidal Ideation among Patients with Depression and Neurotic Disorders Attending a Tertiary Care Centre at Eastern Nepal. Journal of Nepal Health Research Council, [S.l.], mar. 2017. ISSN 1999-6217. Available at: <http://jnhrc.com.np/index.php/jnhrc/article/view/873>. Date accessed: 24 sep. 2017.
Section
Original Article