Depression, Hopelessness and Risk of Suicide in patients Undergoing Hemodialysis: A Cross Sectional Study

Vidhi  Jesalpura; Harshil Chauhan; Prutha Desai; Alpesh J Gediya; Dharmesh V Patel; Hitendra A Gandhi; Krishna K. Dave

doi:10.48165/ijabms.2021.23127

Authors

Vidhi Jesalpura Post-graduate GCS Medical College, Hospital & Research Centre, Ahmedabad.
Harshil Chauhan Senior Resident GCS Medical College, Hospital & Research Centre, Ahmedabad.
Prutha Desai Assistant Professor GCS Medical College, Hospital & Research Centre, Ahmedabad.
Alpesh J Gediya Associate Professor GCS Medical College, Hospital & Research Centre, Ahmedabad.
Dharmesh V Patel Professor GCS Medical College, Hospital & Research Centre, Ahmedabad.
Hitendra A Gandhi Professor and Head of department GCS Medical College, Hospital & Research Centre, Ahmedabad.
Krishna K. Dave Scholar Department of Psychiatry, GCS Medical College, Hospital & Research Centre, Ahmedabad.

DOI:

https://doi.org/10.48165/ijabms.2021.23127

Keywords:

Depression, Hopelessness, Risk of Suicide, Undergoing Hemodialysis, Cross Sectional Study Introduction

Abstract

Background: Hemodialysis (HD) is associated with organic difficulties and also causes changes in psychological status of patients. Depression is the most common and probably the most important psychopathological complication in in hemodialysis patients. Hopelessness was reported as the aggravating factor of depression. Suicide is established as prevalent mental health problems in patients undergoing hemodialysis.Aim: To assess depression, hopelessness and risk of suicide in patients undergoing hemodialysis.Methods: A cross-sectional study was carried out among 50 hemodialysis patients at tertiary care hospital in India. Scales like Patients health questionnaire-9(PHQ-9), Beck’s hopelessness scale (BHS) and Columbia-suicide severity rating scale(C-SSRS) were used to assess depression, hopelessness and risk of suicide.Result: Out of 50 patients, 38(76%) showed depression, 40(80%) showed hopelessness and 4(8%) showed risk of suicide. There is a significant correlation between sessions of hemodialysis with depression (p value=<0.05^**) and hopelessness (p value=<0.05^**). There is significant correlation between Depression and hopelessness in hemodialysis patients. (p value=<0.05^**).Conclusion: The results from this study suggest that patients who have less sessions of dialysis showed more depression and hopelessness than the patients having more sessions of dialysis. This is may be due to adaptation with hemodialysis procedure in patient’s lifestyle as the number of sessions increases. And in this study depression is strongly associated with hopelessness and well explained by hopelessness

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