Depression and Suicidality in Multiple Sclerosis: Red Flags, Management Strategies, and Ethical Considerations

AbstractMultiple sclerosis (MS) causes physical, emotional, and cognitive changes that impact function and quality of life (QoL). Risk factors for suicidality in MS patients include a high incidence of depression, increased isolation, and reduced function/independence.Purpose of ReviewTo describe the epidemiology of depression and suicidality in this population, highlight warning signs for suicidal behavior, provide recommendations and resources for clinicians, and discuss ethical decisions related to patient safety vs. right to privacy.Recent FindingsFifty percent of MS patients will experience a major depression related to brain MRI factors and disease-related psychosocial challenges. Nevertheless, depression is under-recognized/treated. The standardized mortality ratio (SMR) indicates a suicide risk in the MS population that is twice that in the general population.SummaryGiven the prevalence of depression and the increased risk of suicide in the MS population, any clinician providing care for these patients must be prepared to recognize and respond to potential warning signs.
Source: Current Neurology and Neuroscience Reports - Category: Neuroscience Source Type: research

Related Links:

Conclusions: The prevalence of SC is higher in patients with MS compared to the general population. Their occurrence is mostly influenced by the disease itself (duration, relapses, acquired disability) and also by depression and lack of education. PMID: 32399081 [PubMed - in process]
Source: Behavioural Neurology - Category: Neurology Authors: Tags: Behav Neurol Source Type: research
This study examined risk factors in the year prior to suicide in a national sample of Veterans with multiple sclerosis (MS) as well as means of suicide and receipt of mental health services prior to death DESIGN: Case control Study. Individuals ...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
This study examined risk factors in the year prior to suicide in a national sample of Veterans with multiple sclerosis (MS) as well as means of suicide and receipt of mental health services prior to death
Source: Archives of Physical Medicine and Rehabilitation - Category: Rehabilitation Authors: Source Type: research
  Day 1,364 of the COVID-19 quarantine (well, at least it feels like it). How are you holding up? If you’re like most people, you’re not having much fun. But if you already struggle with anxiety, depression or another mental health issue, these days of isolation and uncertainty can feel like absolute torture. In today’s Not Crazy episode, Gabe laments the loss of his routine — those regular activities he clung to religiously to keep his mental health in check.  Now what is he supposed to do? Tune in for a special quarantine episode. Together, we will grieve our old routines and discuss...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Anxiety and Panic General Health-related Mental Health and Wellness Not Crazy Podcast Self-Help Source Type: blogs
Fatigue and poor sleep quality are among the most common patient-reported problems associated with multiple sclerosis (MS). Social support, on the other hand, is often found to be positively associated with quality of life in patients with neurological dis...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Distraction, Fatigue, Chronobiology, Vigilance, Workload Source Type: news
  Are people with mental illness more creative? Jackie believes there may be a link between the two, while Gabe thinks it’s just a bunch of hoopla. Get ready — they’ve both done their research and are ready to back their claims. Tune in to hear a lively (and friendly) debate on whether the science is valid, the difference between inspiration and creativity, as well as their own opinions and experiences on mental illness and creativity. What’s your take? Join us on this Not Crazy podcast to see whose side you’re on, or if you’re somewhere in the middle. (Transcript Available Belo...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Bipolar Creativity Disorders General Mental Health and Wellness Not Crazy Podcast Schizophrenia Source Type: blogs
  Rich celebrity on TV: “Have you ever been sad? You might have depression.” If scenarios like this make you want to throw a rock at a window, you aren’t alone. In today’s episode, Gabe expresses his distaste for celebrities posing as the “face” of mental illness. He feels further validated after watching a satirical episode of BoJack Horseman, in which Mr. Peanutbutter, a cheerful canine celebrity, becomes the new face of depression — first as a “sad dog” meme and then as a depression spokesperson. What do you think? Tune in to hear Jackie and Gabe get into a ...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Celebrities Depression Disorders General Mental Health and Wellness Not Crazy Podcast Source Type: blogs
Fight Aging! publishes news and commentary relevant to the goal of ending all age-related disease, to be achieved by bringing the mechanisms of aging under the control of modern medicine. This weekly newsletter is sent to thousands of interested subscribers. To subscribe or unsubscribe from the newsletter, please visit: https://www.fightaging.org/newsletter/ Longevity Industry Consulting Services Reason, the founder of Fight Aging! and Repair Biotechnologies, offers strategic consulting services to investors, entrepreneurs, and others interested in the longevity industry and its complexities. To find out m...
Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
  Have you ever been so pissed off, in a state of absolute rage, and said or done something you completely regret later? Many people living with bipolar disorder understand this feeling all too well: At the time, you feel so righteous, so fueled with this powerful Hercules-like energy, so ready to take on your enemy (or the world), only to think later… What in the world was that all about? Yep, in these moments, the angry response tends to far outweigh the initial trigger. In this episode, Gabe and Jackie discuss the blind rage that many people have experienced. They talk about how to deal with it and how it&r...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Anger Bipolar Disorders General Not Crazy Podcast Source Type: blogs
Should we be talking so plainly about suicidal ideation? What are the benefits of assessing our thought patterns over a period of time? Join us as we discuss the Columbia-Suicide Severity Scale screening tool. We tackle this sensitive topic after Jackie was surprised by a suicide assessment at a physician’s office. Rare trigger warning this week for a tough subject, as we explore talking openly about suicidal ideation. (Transcript Available Below) SUBSCRIBE &REVIEW About The Not Crazy Podcast Hosts Gabe Howard is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popu...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Bipolar Death & Dying Depression Grief and Loss Happiness Not Crazy Podcast Suicide Source Type: blogs
More News: Brain | Depression | Epidemiology | Medical Ethics | Multiple Sclerosis | Neurology | Neuroscience | Suicide | Warnings