Stroke is a risk factor for suicide. Approximately one in every three stroke survivors will experience depression within the first year after stroke. Although uncommon, thoughts about death or suicide are more common in adults after stroke compared to the general population, especially in younger depressed patients. Nearly 12% of people after stroke have suicidal ideation. During the first 5 years after stroke, approximately 4 per 1000 people commit suicide. Risk factors for post stroke suicide include smoking, low income, depression, heart disease and sleep disorders. Poor quality of life and outcomes are associated with depression after stroke. Screening and treatment for depression and suicidal ideation in survivors of stroke is a very important unmet need. One recommended depression screening tool is the Patient Health Questionnaire-9. In terms of treatment, the optimal intervention is not yet clear, in part due to the inherent variability of strokes. The effectiveness of selective serotonin reuptake inhibitors is controversial as are the potential risks. Some potential alternatives to pharmacological interventions include: acupuncture, noninvasive brain stimulation, behavioral and psychosocial therapy, exercise and music or art therapy. As physical therapists we play an important role in advocating for early consistent identification and treatment of post-stroke depression.

Upon completion of this course, the attendee will –
1. Understand general trends incidence and prevalence of post-stroke depression and suicidal ideation and suicide.
2. Understand potential current treatment options for post- stroke depression.
3. Analyze the evidence as it relates to our role as physical therapists.
4. Evaluate and determine potential ways in which we can advocate for better identification and treatment of post- stroke depression.