Presence of suicidality as a prognostic indicator.
J Postgrad Med
;
2004 Jul-Sep; 50(3): 185-7; discussion 187-8
Artículo
en Inglés
| IMSEAR
| ID: sea-115297
ABSTRACT
BACKGROUND:
Suicidal symptoms in depression are often thought to predict a higher severity of illness and a worse prognosis.AIMS:
To determine if suicidal ideation at the time of treatment for major depression can predict response to antidepressant medication in primary care. SETTINGS ANDDESIGN:
A retrospective analysis of subjects receiving anti-depressant drugs in a primary care setting METHODS ANDMATERIAL:
Nine depressed patients (14%) who acknowledged suicidality on the PHQ-9 depression scale were followed up for and compared to a group of 54 (86%) depressed patients (controls) who did not have suicidal thoughts for four months. All were given treatment with antidepressants and followed with a disease management protocol where the PHQ-9 was used as a systematic outcome measure. STATISTICALANALYSIS:
Descriptive measures and t-tests were utilized to show statistical significance.RESULTS:
There were no statistical differences in remission from depressive symptoms based on the PHQ-9 scale after antidepressant treatment, between patients with suicidal thoughts (56%) and those without (44%).CONCLUSION:
The presence of suicidality as a depressive symptom did not predict poorer clinical outcome when treating depression in the primary care setting in the patients studied.
Texto completo:
Disponible
Índice:
IMSEAR (Asia Sudoriental)
Asunto principal:
Atención Primaria de Salud
/
Escalas de Valoración Psiquiátrica
/
Suicidio
/
Femenino
/
Humanos
/
Masculino
/
Estudios de Casos y Controles
/
Estudios Retrospectivos
/
Trastorno Depresivo Mayor
/
Persona de Mediana Edad
Tipo de estudio:
Guía de Práctica Clínica
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Idioma:
Inglés
Revista:
J Postgrad Med
Año:
2004
Tipo del documento:
Artículo
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