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Updated: Jul 6, 2026

Individualized rTMS Treatment for Depression using an fMRI-Based Targeting Method

Individualized rTMS Treatment for Depression using an fMRI-Based Targeting Method

Published on: August 2, 2021

Suicidal ideators without major depression--whom are we not reaching?

Anne E Rhodes¹, Jennifer Bethell

¹Suicide Studies Unit, St Michael's Hospital, Toronto, Ontario. rhodesa@smh.toronto.on.ca

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie

|March 25, 2008

Summary

Nearly half of individuals experiencing suicidal thoughts did not have major depression or prior mental health service contact. These individuals were younger and had higher morbidity, with males less likely to seek help.

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Last Updated: Jul 6, 2026

Individualized rTMS Treatment for Depression using an fMRI-Based Targeting Method

Individualized rTMS Treatment for Depression using an fMRI-Based Targeting Method

Published on: August 2, 2021

Area of Science:

Psychiatry
Public Health
Epidemiology

Background:

Suicidal ideation affects individuals without diagnosed major depression (MD) or prior mental health service contact.
Understanding this demographic is crucial for targeted interventions.

Purpose of the Study:

To characterize individuals reporting suicidal ideation without MD or recent mental health service contact.
To identify factors associated with mental health service utilization among this population.

Main Methods:

Analysis of the Canadian Community Health Survey: Mental Health and Well-Being (CCHS 1.2) data (n=36,984).
Comparison of demographic and health status variables between suicidal ideators (without MD/service contact) and non-suicidal counterparts.
Analysis of mental health service contact among suicidal ideators without MD.

Main Results:

47.9% of suicidal ideators lacked MD and mental health service contact.
This group was younger and had higher morbidity than non-suicidal controls.
Males were less likely to seek mental health services; females and those with anxiety disorders were more likely.

Conclusions:

Highlights a significant group of suicidal individuals not engaged with mental health services.
Suggests a need for early intervention programs, especially for young males.