ArticleNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association2023
High rates of psychological distress, mental health diagnoses and suicide attempts in people with chronic kidney disease in Ireland.
Article in Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- The effect of nutrition education interventions on dialysis patients' outcomes: a systematic review and meta-analysis.Annals of medicine · 2026Pooled it
- Suicide risk in patients undergoing hemodialysis: a systematic review and meta-analysis of prevalence.Renal failure · 2025Pooled it
- Perceived Impacts and Concerns in the Daily Life of People with Chronic Kidney Disease: A Qualitative Study.Portuguese journal of public health · 2026Article
- Co-creating mental health education with students: a qualitative case study in pharmacy.International journal of clinical pharmacy · 2026Article
- Quality of life, sleep quality, and psychological wellbeing of patients with chronic kidney disease in Sabaragamuwa Province, Sri Lanka: a descriptive cross-sectional study.Scientific reports · 2026Article
- Patient-reported mental health problems and clinical outcomes in adults with non-dialysis chronic kidney disease.Kidney research and clinical practice · 2026Article
- Understanding Patients' Experiences and Adherence Challenges with Dietary and Fluid Restriction in End-Stage Kidney Disease: A Qualitative Study.Patient preference and adherence · 2026Article
- Resting heart rate as an independent predictor of major adverse cardiovascular events in patients receiving maintenance hemodialysis: a prospective cohort study.Frontiers in medicine · 2026Article
- The Role of Age in Shaping Cognitive, Physical, and Psychosocial Outcomes in Hemodialysis Patients: A Cross-Sectional Study.Medicina (Kaunas, Lithuania) · 2025Article
- Mental Health Symptoms and Receipt of Mental Health Care Among US Adults Diagnosed With Kidney Disease.Preventing chronic disease · 2025Article
- Living with chronic kidney disease: future perspectives and prognostic needs of patients - a qualitative study.BMC nephrology · 2025Article
- Ten tips on how to manage kidney health in migrants and refugees.Clinical kidney journal · 2025Review
- The impact of paternity-maternity matching on suicide risk among college students: a response surface analysis.BMC psychiatry · 2025Article
- Depression and anxiety in people with kidney disease: understanding symptom variability, patient experience and preferences for mental health support.Journal of nephrology · 2025Article
- Investigating the Interplay Between Sleep, Anxiety, and Depression in Chronic Kidney Disease Patients: Implications for Mental Health.Healthcare (Basel, Switzerland) · 2025Article
- The relationship between family conflict resolution methods and depressive symptoms in patients with chronic diseases.PloS one · 2025Article
- A Pathway Analysis of Factors Affecting Quality of Life in Peritoneal Dialysis Patients: A Cross-Sectional Study Based on Individual and Family Self-Management Theory.Patient preference and adherence · 2025Article
- The utility of brief instruments for depression screening in dialysis patients.Clinical kidney journal · 2025Article
- Premature mortality and disparities in kidney healthcare for people with chronic kidney disease and severe mental health difficulties.Journal of nephrology · 2024Article
- Suicide among patients with chronic kidney disease in the United States: 1999-2020.Journal of nephrology · 2024Article
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPeople with chronic kidney disease (CKD) experience high levels of psychological distress, which is associated with higher mortality and adverse health outcomes. Little is known about the rates of a range of mental health difficulties or rates of suicide attempts in people with CKD.
methodsIndividuals with CKD (n = 268; age range 18-94 years, mean = 49.96 years) on haemodialysis (n = 79), peritoneal dialysis (n = 46), transplant recipients (n = 84) and who were not on renal replacement therapy (RRT; n = 59) were recruited through the Irish Kidney Association social media pages and three Irish hospitals. Participants completed surveys to gather demographics and mental health histories, the Hospital Anxiety and Depression Scale (HADS) and the 12-item Short Form Health Survey (SF-12) to measure health-related quality of life (HRQoL).
resultsA total of 23.5% of participants self-reported they had received a mental health diagnosis, with depression (14.5%) and anxiety (14.2%) being the most common, while 26.4% of participants had experienced suicidal ideation and 9.3% had attempted suicide. Using a clinical cut-off ≥8 on the HADS subscales, current levels of clinically significant anxiety and depression were 50.7% and 35.4%, respectively. Depression levels were slightly higher for those on haemodialysis compared with those with a transplant and those not on RRT. Depression, anxiety and having a mental health diagnosis were all associated with lower HRQoL.
conclusionsPeople with CKD in Ireland experience high levels of psychological distress, mental health difficulties, suicidal ideation and suicide attempts. The identification of and intervention for mental health difficulties in CKD should be prioritised in clinical care.
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