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Year : 2004  |  Volume : 50  |  Issue : 3  |  Page : 185-188

Presence of suicidality as a prognostic indicator

1 SUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY - 13210, USA
2 Department of Psychiatry, 750 East Adams Street, Syracuse, NY - 13210, USA

Correspondence Address:
Thomas Schwartz
Department of Psychiatry, 750 East Adams Street, Syracuse, NY - 13210
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Source of Support: None, Conflict of Interest: None

PMID: 15377802

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Background: Suicidal symptoms in depression are often thought to predict a higher severity of illness and a worse prognosis. Aims: To determine if suicidal ideation at the time of treatment for major depression can predict response to antidepressant medication in primary care. Settings and Design: A retrospective analysis of subjects receiving anti-depressant drugs in a primary care setting Methods and Material: Nine depressed patients (14%) who acknowledged suicidality on the PHQ-9 depression scale were followed up for and compared to a group of 54 (86%) depressed patients (controls) who did not have suicidal thoughts for four months. All were given treatment with antidepressants and followed with a disease management protocol where the PHQ-9 was used as a systematic outcome measure. Statistical Analysis: Descriptive measures and t-tests were utilized to show statistical significance. Results: There were no statistical differences in remission from depressive symptoms based on the PHQ-9 scale after antidepressant treatment, between patients with suicidal thoughts (56%) and those without (44%). Conclusion: The presence of suicidality as a depressive symptom did not predict poorer clinical outcome when treating depression in the primary care setting in the patients studied.


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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow