Differences in the prevalence and clinical correlates of comorbid suicide attempts in patients with early- and late-onset major depressive disorder
ObjectiveThere are many studies on differences in the onset age of major depressive disorder (MDD) patients. However, study on differences in clinical correlates of suicide attempts between early- and late-onset MDD patients is limited. The aim of this study was to investigate the differences in the...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-08-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1173917/full |
| _version_ | 1827889050071072768 |
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| author | Xiao Huang Yuan Sun Anshi Wu Xiangyang Zhang Xiangyang Zhang |
| author_facet | Xiao Huang Yuan Sun Anshi Wu Xiangyang Zhang Xiangyang Zhang |
| author_sort | Xiao Huang |
| collection | DOAJ |
| description | ObjectiveThere are many studies on differences in the onset age of major depressive disorder (MDD) patients. However, study on differences in clinical correlates of suicide attempts between early- and late-onset MDD patients is limited. The aim of this study was to investigate the differences in the prevalence and clinical correlates of suicide attempts in patients with early- and late-onset MDD in China.MethodsA total of 1718 adult outpatients with MDD were recruited. Demographic and clinical data were collected. The 17-item Hamilton Rating Scale for Depression (HAMD-17), Hamilton Anxiety Rating Scale (HAMA), Positive and Negative Syndrome Scale (PANSS) positive subscale, and Clinical Global Impression-Severity (CGI-S) Scales were used to assess their depressive, anxiety, psychotic symptoms, and the severity of the clinical symptoms, respectively.ResultsThe prevalence of suicide attempts was higher in late-onset MDD patients (291/1369, 21.3%) than in early-onset MDD patients (55/349, 15.8%) (p = 0.023). However after Bonferroni correction no significant difference was found in the prevalence of suicide attempts in late-onset and late-onset MDD patients (p > 0.05). In both early- and late-onset groups, univariate analysis showed that the following characteristics were significantly associated with suicide attempts: HAMA, HAMD and PANSS positive subscale scores, thyroid stimulating hormone (TSH) levels, blood glucose levels, systolic blood pressure (SBP), and diastolic blood pressure (DBP). In both the early- and late-onset groups, the prevalence rates of severe anxiety disorder and psychotic symptoms were significantly higher in the suicide attempt group than in the non-suicide attempt group. In regression analysis, disease duration, TSH levels and HAMA score were independently associated with suicide attempts in the early-onset group, while TSH levels, HAMA and HAMD score were independently associated with suicide attempts in the late-onset group.ConclusionThis study suggests that suicide attempts are not frequent in early-onset outpatients with MDD compared with late-onset, and some clinical correlates are associated with suicide attempt in early- and late-onset MDD. |
| first_indexed | 2024-03-12T20:49:36Z |
| format | Article |
| id | doaj.art-cbb32e3bbfbb453e93c82ef3cf7d0dbb |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-03-12T20:49:36Z |
| publishDate | 2023-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-cbb32e3bbfbb453e93c82ef3cf7d0dbb2023-08-01T06:56:20ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-08-011410.3389/fpsyt.2023.11739171173917Differences in the prevalence and clinical correlates of comorbid suicide attempts in patients with early- and late-onset major depressive disorderXiao Huang0Yuan Sun1Anshi Wu2Xiangyang Zhang3Xiangyang Zhang4Department of Anesthesiology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, ChinaDepartment of Pharmacy, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, ChinaDepartment of Anesthesiology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, ChinaCAS Key Laboratory of Mental Health, Institute of Psychology, Beijing, ChinaDepartment of Psychology, University of Chinese Academy of Sciences, Beijing, ChinaObjectiveThere are many studies on differences in the onset age of major depressive disorder (MDD) patients. However, study on differences in clinical correlates of suicide attempts between early- and late-onset MDD patients is limited. The aim of this study was to investigate the differences in the prevalence and clinical correlates of suicide attempts in patients with early- and late-onset MDD in China.MethodsA total of 1718 adult outpatients with MDD were recruited. Demographic and clinical data were collected. The 17-item Hamilton Rating Scale for Depression (HAMD-17), Hamilton Anxiety Rating Scale (HAMA), Positive and Negative Syndrome Scale (PANSS) positive subscale, and Clinical Global Impression-Severity (CGI-S) Scales were used to assess their depressive, anxiety, psychotic symptoms, and the severity of the clinical symptoms, respectively.ResultsThe prevalence of suicide attempts was higher in late-onset MDD patients (291/1369, 21.3%) than in early-onset MDD patients (55/349, 15.8%) (p = 0.023). However after Bonferroni correction no significant difference was found in the prevalence of suicide attempts in late-onset and late-onset MDD patients (p > 0.05). In both early- and late-onset groups, univariate analysis showed that the following characteristics were significantly associated with suicide attempts: HAMA, HAMD and PANSS positive subscale scores, thyroid stimulating hormone (TSH) levels, blood glucose levels, systolic blood pressure (SBP), and diastolic blood pressure (DBP). In both the early- and late-onset groups, the prevalence rates of severe anxiety disorder and psychotic symptoms were significantly higher in the suicide attempt group than in the non-suicide attempt group. In regression analysis, disease duration, TSH levels and HAMA score were independently associated with suicide attempts in the early-onset group, while TSH levels, HAMA and HAMD score were independently associated with suicide attempts in the late-onset group.ConclusionThis study suggests that suicide attempts are not frequent in early-onset outpatients with MDD compared with late-onset, and some clinical correlates are associated with suicide attempt in early- and late-onset MDD.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1173917/fullMDD (major depressive disorder)suicide attemptsage at onsetprevalenceoutpatients |
| spellingShingle | Xiao Huang Yuan Sun Anshi Wu Xiangyang Zhang Xiangyang Zhang Differences in the prevalence and clinical correlates of comorbid suicide attempts in patients with early- and late-onset major depressive disorder Frontiers in Psychiatry MDD (major depressive disorder) suicide attempts age at onset prevalence outpatients |
| title | Differences in the prevalence and clinical correlates of comorbid suicide attempts in patients with early- and late-onset major depressive disorder |
| title_full | Differences in the prevalence and clinical correlates of comorbid suicide attempts in patients with early- and late-onset major depressive disorder |
| title_fullStr | Differences in the prevalence and clinical correlates of comorbid suicide attempts in patients with early- and late-onset major depressive disorder |
| title_full_unstemmed | Differences in the prevalence and clinical correlates of comorbid suicide attempts in patients with early- and late-onset major depressive disorder |
| title_short | Differences in the prevalence and clinical correlates of comorbid suicide attempts in patients with early- and late-onset major depressive disorder |
| title_sort | differences in the prevalence and clinical correlates of comorbid suicide attempts in patients with early and late onset major depressive disorder |
| topic | MDD (major depressive disorder) suicide attempts age at onset prevalence outpatients |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1173917/full |
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