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- W2904172010 abstract "Suicidal ideation is a common health concern in primary care. Attachment theory indicates that subjects with higher anxiety and/or avoidance may be more susceptible to suicidal ideation. Therefore, the aim of our study was to examine the association of attachment anxiety, avoidance, and suicidal ideation in middle-aged to elderly, chronically ill primary care patients. The APRICARE Study comprised 207 patients aged 50–85 years with a minimum of three chronic diseases. Adult attachment, depressive symptoms and suicidal ideation were measured via the self-report questionnaires Experiences in Close Relationships–Revised (ECR-RD12) and Patient Health Questionnaire – 9 (PHQ-9). Univariable and adjusted associations of suicidal ideation with ECR-RD12-attachment anxiety, ECR-RD12-attachment avoidance, and ECR-RD12-insecure adult attachment were examined via logistic regression analyses. Suicidal ideation was present in 13% of all patients. ECR-RD12-anxiety was significantly associated with suicidal ideation (OR = 1.88, CI 1.44–2.44), while ECR-RD12-avoidance was not associated. In patients with suicidal ideation, 85% were insecurely attached compared to 63% in those without suicidal ideation – thus the OR for suicidal ideation in insecurely attached patients was 3.33 (CI = 1.10–10.04) with securely attached patients as reference. Further variables associated with suicidal ideation were depressive symptomatology, living alone (especially in men) and obesity (especially in women). The study was cross-sectional in design, and suicidal ideation was assessed using a single item self-report measure. General practitioners should be aware of attachment styles in order to have a better chance to identify patients at risk for suicide." @default.
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- W2904172010 date "2019-03-01" @default.
- W2904172010 modified "2023-09-26" @default.
- W2904172010 title "Association of adult attachment and suicidal ideation in primary care patients with multiple chronic conditions" @default.
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- W2904172010 doi "https://doi.org/10.1016/j.jad.2018.12.029" @default.
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