Suicidal Ideation is Associated with Limited Engagement in HIV Care.

Journal Article (Journal Article)

PHQ-9 data from persons living with HIV (PLWH, n = 4099) being screened for depression in three clinics in the southeastern USA were used to determine the prevalence of suicidal ideation (SI). SI was reported by 352 (8.6 %); associated with <3 years since HIV diagnosis (1.69; 95 %CI 1.35, 2.13), and HIV RNA >50 copies/ml (1.70, 95 %CI 1.35, 2.14). Data from PLWH enrolled in a depression treatment study were used to determine the association between moderate-to-high risk SI (severity) and SI frequency reported on PHQ-9 screening. Over forty percent of persons reporting that SI occurred on "more than half the days" (by the PHQ-9) were assessed as having a moderate-to-high risk for suicide completion during the Mini International Neuropsychiatric Interview. SI, including moderate-to-high risk SI, remains a significant comorbid problem for PLWH who are not fully stabilized in care (as indicated by detectable HIV RNA or HIV diagnosis for less than 3 years).

Full Text

Duke Authors

Cited Authors

  • Quinlivan, EB; Gaynes, BN; Lee, JS; Heine, AD; Shirey, K; Edwards, M; Modi, R; Willig, J; Pence, BW

Published Date

  • June 2017

Published In

Volume / Issue

  • 21 / 6

Start / End Page

  • 1699 - 1708

PubMed ID

  • 27380390

Electronic International Standard Serial Number (EISSN)

  • 1573-3254

Digital Object Identifier (DOI)

  • 10.1007/s10461-016-1469-8


  • eng

Conference Location

  • United States