TY - JOUR
PY - 2016//
TI - Suicidality in primary care patients who present with sadness and anhedonia: a prospective European study
JO - BMC psychiatry
A1 - Moreno-Küstner, Berta
A1 - Jones, Rebeca
A1 - Svab, Igor
A1 - Maaroos, Heidi
A1 - Xavier, Miguel
A1 - Geerlings, Mirjam
A1 - Torres-Gonzalez, Francisco
A1 - Nazareth, Irwin
A1 - Motrico-Martínez, Emma
A1 - Montón-Franco, Carmen
A1 - Gil-de-Gómez, María José
A1 - Sánchez-Celaya, Marta
A1 - Díaz-Barreiros, Miguel Ángel
A1 - Vicens-Caldentey, Catalina
A1 - King, Michael
SP - e94
EP - e94
VL - 16
IS - 1
N2 - 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. Language: en
LA - en
SN - 1471-244X
UR - http://dx.doi.org/10.1186/s12888-016-0775-z
ID - ref1
ER -