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Related Experiment Videos

[Attempted suicide and depression].

E N Stenager1, L L Christensen, I M Jepsen

  • 1Psykiatrisk afdeling P, Odense Sygehus.

Ugeskrift for Laeger
|March 18, 1991
PubMed
Summary
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Depressive symptoms are common in suicide attempt patients, but severe depression is less frequent. Many patients improve without medication, suggesting caution in prescribing antidepressants.

Area of Science:

  • Psychiatry
  • Clinical Psychology

Background:

  • Depressive illness is a significant concern in individuals who attempt suicide.
  • Understanding the prevalence and characteristics of depression in this population is crucial for effective treatment.

Purpose of the Study:

  • To investigate the frequency and types of depressive illness in patients referred after attempted suicide.
  • To assess the diagnostic criteria and treatment patterns for depression in this cohort.

Main Methods:

  • Consecutive sampling of 195 patients referred after attempted suicide.
  • Assessment of depressive symptoms and diagnosis using Feighner criteria, Zung's Depression Scale, and Newcastle I scale.
  • Analysis of hospitalization data and treatment records.

Main Results:

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  • 85% of patients exhibited depressive symptoms upon admission.
  • 51% met Feighner criteria for definite depressive disease, and 60% scored positive on Zung's Depression Scale.
  • 25% were diagnosed with depressive disease during hospitalization, with only 5% having endogenic depression.

Conclusions:

  • Depressive symptoms are prevalent in suicide attempters, but often represent milder, non-endogenic states.
  • Many patients show rapid improvement without antidepressant medication during hospitalization.
  • Antidepressant prescription should be judicious, pending verified diagnosis of depressive disease.