1739 THE ASSOCIATION OF SUICIDAL IDEATION, DEPRESSION AND LOWER URINARY TRACT SYMPTOMS, DATA FROM THE NATIONAL HEALTH AND NUTRITION EXAMINATION SURVEY (NHANES), 2005-2006 AND 2007-2008

Abstract

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Epidemiology & Natural History/Evaluation & Markers1 Apr 20131739 THE ASSOCIATION OF SUICIDAL IDEATION, DEPRESSION AND LOWER URINARY TRACT SYMPTOMS, DATA FROM THE NATIONAL HEALTH AND NUTRITION EXAMINATION SURVEY (NHANES), 2005-2006 AND 2007-2008 Benjamin Breyer, Stacey Kenfield, and Bradley Erickson Benjamin BreyerBenjamin Breyer San Francisco, CA More articles by this author , Stacey KenfieldStacey Kenfield San Francisco, CA More articles by this author , and Bradley EricksonBradley Erickson Iowa City, IA More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.2909AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To examine the association between self-reported lower urinary tract symptoms (LUTS) and suicidal ideation or depression in a large cross-sectional population-based study. METHODS The study included 2890 men participating in the 2005-2006 or 2007-2008 cycles of the National Health and Nutrition Examination Survey (NHANES), who were ≥ 40 years old and without a history of prostate cancer. Men were considered to have LUTS if they reported nocturia, urinary hesitancy and/or incomplete bladder emptying and were examined by number of LUTS symptoms. Men reported frequency of suicidal ideation in the prior two weeks (frequency categories) and depression status was determined using the 9 item depression scale of the Patient Health Questionnaire (PHQ-9). Logistic regression was used to measure association. Multivariate models were adjusted for demographic factors (age, race, education), lifestyle factors (smoking, physical activity, alcohol use, BMI), comorbidities, health care utilization, and other factors associated with depression including depression medications. Suicidal ideation adjusted models also included emotional/financial support and number of close friends. RESULTS The prevalence of LUTS was 43.3% and 5.6% for men reporting 1 symptom and ≥ 2 symptoms, respectively. Moderate to severe depression and suicidal ideation were reported by 181 (6.3%) and 109 (3.8%), respectively. Men with depression were more likely to be younger, have less than a college degree, were more likely to smoke, and were less likely to exercise and consume alcohol on a weekly basis. Men with ≥ 2 LUTS symptoms were more likely to report moderate to severe depression (adjusted odds ratio (AOR) 3.1, 95% Confidence Interval (95%CI) 1.2-8.1 and a trend was observed across higher (worse) depression scores (p=0.02). Men with ≥ 2 LUTS symptoms had a 1.8-fold greater odds of suicidal ideation (95% CI, 0.9-3.7), with a significant trend observed with greater LUTS symptoms (Ptrend=0.01). CONCLUSIONS Having LUTS increases risk for reporting major depression and may increase risk of suicidal ideation. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e714-e715 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Benjamin Breyer San Francisco, CA More articles by this author Stacey Kenfield San Francisco, CA More articles by this author Bradley Erickson Iowa City, IA More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...