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Journal Article

Citation

Bradvik L, Berglund M. Depress. Anxiety 2005; 23(1): 34-41.

Affiliation

Department of Clinical Medicine, Division of Psychiatry, Lund University Hospital, Lund, Sweden.

Copyright

(Copyright © 2005, John Wiley and Sons)

DOI

10.1002/da.20134

PMID

16315268

Abstract

Our objective in this article is to assess the relation between long-term treatments of depressive episodes and attempted or completed suicide in patients who had had a severe depression at index admission. A blind record evaluation of 96 suicides with a primary severe depression and matched controls has been performed. Out of those, 57 and 33, respectively, had made suicide attempts. Occurrence of attempt was less common after electroconvulsive therapy (ECT). However, seriousness of suicide attempt appeared to be reduced in those with at least 4 weeks of antidepressant medication compared to no treatment and ECT. The theory of a suicidal syndrome independent of depression seems supported. Continuation treatment after ECT is recommended.

 

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