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This study identifies clinical vulnerabilities for suicidal ideation in cardiac patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The primary outcome of the study was severity of suicidal ideation as measured with the Patient Health Questionnaire (PHQ\u20109) item No. 9. Covariates were demographics, cardiac characteristics (i.e., Canadian Cardiovascular Society angina rating of chest pain and New York Heart Association rating of shortness of breath), depression (PHQ\u20108,i.e., PHQ\u20109 minus item No. 9), anxiety (Generalized Anxiety Disorder\u20107, GAD\u20107), somatic symptoms (PHQ\u201015), illness perception (Brief\u2010Illness Perception Questionnaire), and health\u2010related quality of life (EuroQol\u20105D, EQ 5D).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Data from 1,976 patients were analysed. At least 14% (95% CI [12%, 16%]) of patients indicated suicidal ideations within the last 2\u00a0weeks. Bivariate analyses yielded associations between suicidal ideation and higher levels of depression severity, anxiety severity, somatic symptom burden, chest pain, shortness of breath, negative illness perceptions, reduced health\u2010related quality of life, and a higher probability of living alone (all <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001). A multivariable ordinal regression revealed depression severity and anxiety severity to show the highest associations with suicidal ideation (OR<jats:sub>PHQ\u20108<\/jats:sub>\u00a0=\u00a01.22, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001; OR<jats:sub>GAD\u20107<\/jats:sub>\u00a0=\u00a01.09, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001). Having a defibrillator implant was associated with a lower probability of suicidal ideation (OR\u00a0=\u00a00.27, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.017).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study identified several clinical vulnerabilities of suicidal ideation. The results stress the importance of screening for suicidal ideation in clinical practice.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cpp.2305","type":"journal-article","created":{"date-parts":[[2018,7,4]],"date-time":"2018-07-04T04:23:08Z","timestamp":1530678188000},"page":"754-764","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Suicidal ideation in patients with coronary heart disease and hypertension: Baseline results from the DEPSCREEN\u2010INFO clinical trial"],"prefix":"10.1002","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8817-3365","authenticated-orcid":false,"given":"Marco","family":"Lehmann","sequence":"first","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Kohlmann","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Gierk","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy Asklepios Clinic North\u2014Ochsenzoll  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra M.","family":"Murray","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernd","family":"L\u00f6we","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,7,3]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1026\/0012-1924.55.3.144"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/0471249688"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/0470114754"},{"issue":"12","key":"e_1_2_15_5_1","first-page":"596","article-title":"Psychocardiology: Clinically relevant recommendations regarding selected cardiovascular diseases","volume":"139","author":"Albus C.","year":"2014","journal-title":"Deutsche Medizinische Wochenschrift"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2296-15-37"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S55483"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2017.10.036"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.psy.0000146332.53619.b2"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.22066"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1975.03260240050026"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/13811118.2015.1040934"},{"key":"e_1_2_15_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2017.09.044"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2005.10.020"},{"key":"e_1_2_15_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02193525"},{"key":"e_1_2_15_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.22162"},{"key":"e_1_2_15_17_1","unstructured":"Christensen R. 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