Citation

Bradvik L, Berglund M. Depress. Res. Treat. 2011; 2011(online): 896395.

Affiliation

Division of Psychiatry, Department of Clinical Sciences Lund, Lund University Hospital, 221 85 Lund, Sweden.

Copyright

(Copyright © 2011, Hindawi Publishing)

DOI

10.1155/2011/896395

PMID

21738871

PMCID

PMC3123969

Abstract

The objective of the present study was to investigate whether ego-dystonic and ego-syntonic suicidal ideation occurred at different frequencies during antidepressant therapy. A blind evaluation has been performed on records of 100 suicides with a primary severe depression and 100 matched controls, admitted to the Department of Psychiatry, Lund, Sweden. Ego-dystonic suicidal ideation was more commonly reported during adequate treatment as compared to ego-syntonic ideation (P = .004). Men who committed suicide during adequate antidepressant therapy more often reported ego-dystonic suicidal ideation earlier in their lives compared with those who were not treated (P = .0377). This may indicate that treatment failure for ego-dystonic ideation was a precursor of their suicides. Consequently, ego-dystonic ideation seems to show a poorer response to antidepressant therapy as compared to ego-syntonic ideation, which may be more directly related to depression. Ego-dystonic ideation is proposed to be related to depressive psychosis.

Language: en