Por favor, use este identificador para citar o enlazar este Item:http://hdl.handle.net/20.500.12105/20258
Título
Suicidality in primary care patients who present with sadness and anhedonia: a prospective European study
Autor(es)
Moreno-Kuestner, Berta | Jones, Rebeca | Svab, Igor | Maaroos, Heidi | Xavier, Miguel | Geerlings, Mirjam | Torres-Gonzalez, Francisco | Nazareth, Irwin | Motrico-Martinez, Emma | Monton-Franco, Carmen | Jose Gil-de-Gomez, Maria | Sanchez-Celaya, Marta | Angel Diaz-Barreiros, Miguel | Vicens-Caldentey, Caterina | King, Michael
Fecha de publicación
2016-04-06
Cita
Moreno-Kuestner B, Jones R, Svab I, Maaroos H, Xavier M, Geerlings M, et al. Suicidality in primary care patients who present with sadness and anhedonia: a prospective European study. BMC Psychiatry. 2016 Apr 06;16:94.
Idioma
Inglés
Tipo de documento
research article
Resumen
Background: Sadness and anhedonia (loss of interest in activities) are central symptoms of major depression. However, not all people with these symptoms meet diagnostic criteria for major depression. We aimed to assess the importance of suicidality in the outcomes for primary care patients who present with sadness and anhedonia. Method: Cohort study of 2,599 unselected primary care attenders in six European countries followed up at 6 and 12 months. Results: 1) In patients with sadness and/or anhedonia who were not depressed at entry to the study, suicide plans (OR = 3.05; 95 % CI = 1.50-6.24; p = 0.0022) and suicide attempts (OR = 9.08; 95 % CI = 2.57-32.03; p = 0.0006) were significant predictors of developing new onset depression at 6 or 12 months. 2) In patients with sadness and/or anhedonia who met CIDI criteria for major depression at entry, suicidal ideation (OR = 2.93; 95 % CI = 1.70-5.07; p = 0.0001), suicide plans (OR = 3.70; 95 % CI = 2.08-6.57; p < 0.0001), and suicide attempts (OR = 3.33; 95 % CI = 1.47-7.54; p = 0.0040) were significant predictors of persistent depression at 6 or 12 months. Conclusions: Three questions on suicidality could help primary care professionals to assess such patients more closely without necessarily establishing whether they meet criteria for major depression.
Palabras clave
MESH
Anhedonia | Suicide | Male | Prospective Studies | Depressive Disorder, Major | Europe | Female | Humans | Cohort Studies | Primary Health Care | Middle Aged
DECS
Estudios de Cohortes | Trastorno Depresivo Mayor | Humanos | Persona de Mediana Edad | Estudios Prospectivos | Femenino | Suicidio | Europa (Continente) | Atención Primaria de Salud | Anhedonia | Masculino
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