Suicidality in primary care patients who present with sadness and anhedonia: A prospective European study

Moreno-Küstner, B. ; Jones, R. ; Švab, I. ; Maaroos, H. ; Xavier, M. ; Geerlings, M. ; Torres-González, F. ; Nazareth, I. ; Motrico-Martínez, E. ; Montón-Franco, C. ; Gil-de-Gómez, M.J. ; Sánchez-Celaya, M. ; Díaz-Barreiros, M. ; Vicens-Caldentey, C. ; King, M.

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.

Idioma: Inglés

DOI: 10.1186/s12888-016-0775-z

Año: 2016

Publicado en: BMC Psychiatry 16, 1 (2016), 94 [10 pp]
ISSN: 1471-244X

Factor impacto JCR: 2.613 (2016)

Categ. JCR: PSYCHOLOGY, EXPERIMENTAL rank: 63 / 142 = 0.444 (2016) - Q2 - T2

Factor impacto SCIMAGO: 1.375 - Psychiatry and Mental Health (Q1)

Financiación: info:eu-repo/grantAgreement/EUR/ERC/PREDICT-QL4-CT2002-00683
Financiación: info:eu-repo/grantAgreement/ES/ISCIII/PI04-1771
Financiación: info:eu-repo/grantAgreement/ES/ISCIII/PI04-1980
Financiación: info:eu-repo/grantAgreement/ES/ISCIII/RETICS-RD06-0018

Tipo y forma: Article (Published version)