Sociodemographic and Clinical Determinants of Suicidal Ideation: An Analysis in a Peruvian Consultation-Liaison Psychiatry Unit

Abstract Background Suicidal ideation (SI) poses a significant global health concern, particularly among hospitalized individuals, with gaps in understanding its contributing factors in low and middle-income countries like Peru. Methods Utilizing a cross-sectional design, this study examined 940 patients evaluated by the Consultation-Liaison Psychiatry Unit at a major Peruvian general hospital. Sociodemographic and clinical characteristics were assessed, employing standardized instruments such as the Patient Health Questionnaire-9 (PHQ-9), General Anxiety Disorder Scale (GAD-7), Patient Health Questionnaire-15 (PHQ-15), and Clinical Global Impressions (CGI). The prevalence of SI and its associations were explored through bivariate and multivariate analyses. Results The prevalence of SI was 19.7%, with notable associations found in patients experiencing moderate-to-severe depression (36.8%) and those rated as moderately to severely ill on CGI (33.2%). Multivariate analysis confirmed these associations, emphasizing the impact of retirement (aPR = 1.53, 95% CI = 1.04–2.26, p = 0.032), clinical severity (aPR = 1.41, 95% CI = 1.22–1.63, p < 0.0001), and depressive symptoms (aPR = 2.98, 95% CI = 2.13–4.17, p < 0.0001) on SI. Conclusion This study provides essential insights into SI factors among hospitalized patients. Identifying risk factors, like retirement and clinical severity, underscores the importance of targeted interventions in the Peruvian general hospital context.