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

BMC Psychiatry

Research Article

Francisco Torres-González¹  Carmen Montón-Franco²  Catalina Vicens-Caldentey³  Miguel Ángel Díaz-Barreiros⁴  Igor Švab⁵  Berta Moreno-Küstner⁶  Irwin Nazareth⁷  Rebeca Jones⁸  Michael King⁸  Heidi Maaroos⁹  Emma Motrico-Martínez^1,10  Miguel Xavier^1,11  María José Gil-de-Gómez^1,12  Marta Sánchez-Celaya^1,13  Mirjam Geerlings^1,14 

[1] CIBERSAM, University of Granada, Granada, Spain;Centro de Salud Casablanca. (redIAPP, grupo Aragón) Departamento de Medicina y Psiquiatría, Universidad de Zaragoza, Zaragoza, Spain;Centro de Salud Son Serra, Unidad de Investigación de Atención Primaria de Baleares (redIAPP, grupo Baleares), Mallorca, Spain;Centro de Salud de Vecindario, Gerencia de Atención Primaria de Gran Canaria, Las Palmas, Spain;Department of Family Medicine, University of Ljubljana, Ljubljana, Slovenia;Department of Personality, Assessment and Psychological Treatment, University of Malaga (Maristan Network), Malaga, Spain;Department of Primary Care and Population Health, University College London Medical School and Medical, Research Council General Practice Research Framework, London, UK;Division of Psychiatry, UCL, London, UK;Faculty of Medicine, University of Tartu, Tartu, Estonia;International University Loyola Andalucía, Seville, Spain;NOVA Medical School – UNLLisbon, Lisbon, Portugal;Unidad Docente de Medicina Familiar y Comunitaria de La Rioja, La Rioja, Spain;Unidad Docente de Medicina Familiar y Comunitaria de Madrid, Coordinadora de Coordinadora de Direcciones de Continuidad Asistencial, Servicio Madrileño de Salud, Madrid, Spain;University Medical Center Utrecht, Utrecht, The Netherlands;

关键词: Anhedonia;    Depression;    Primary care;    Suicidality;    Cohort;    Risk;   

DOI  :  10.1186/s12888-016-0775-z

 received in 2015-08-03, accepted in 2016-03-09,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundSadness 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.MethodCohort study of 2,599 unselected primary care attenders in six European countries followed up at 6 and 12 months.Results1) 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.ConclusionsThree questions on suicidality could help primary care professionals to assess such patients more closely without necessarily establishing whether they meet criteria for major depression.

【 授权许可】

CC BY   
© Moreno-Küstner et al. 2016