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Correlates of suicidality in men with psychogenic sexual dysfunction

Rajkumar, R. P.

2020-06-05 psychiatry and clinical psychology
10.1101/2020.06.03.20121822 medRxiv
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BackgroundPsychogenic sexual disorders in men, such as erectile dysfunction and premature ejaculation, are often associated with anxiety and depression. However, no study has systematically examined the link between these disorders and suicidality. AimTo assess the frequency and correlates of suicidal ideas and behaviour in men with a primary diagnosis of psychogenic sexual dysfunction. MethodThe current study is a retrospective chart review of 64 Indian men with psychogenic sexual dysfunction, presenting to our clinic in the period 2013-14. Demographic and clinical variables associated with the presence of suicidal ideation or attempts in these patients were examined. ResultsNine (14.1%) patients experienced suicidal ideation related to their disorder, and four (6.3%) had made a suicide attempt. Depression, childhood adversity, and a family history of alcoholism were associated with suicidal ideation, while ongoing stressful life events were associated with suicide attempts. ConclusionsAssessment of suicidality should be part of the routine evaluation of men with sexual dysfunction, particularly when other risk factors are present.

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