A comparison of the clinical characteristics of women with recurrent major depression with and without suicidal symptomatology.
BACKGROUND: The relationship between recurrent major depression (MD) in women and suicidality is complex. We investigated the extent to which patients who suffered with various forms of suicidal symptomatology can be distinguished from those subjects without such symptoms. METHOD: We examined the c...
| Glavni autori: | , , , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Journal article |
| Jezik: | English |
| Izdano: |
2012
|
| _version_ | 1826262755396550656 |
|---|---|
| author | Bi, B Xiao, X Zhang, H Gao, J Tao, M Niu, H Wang, Y Wang, Q Chen, C Sun, N Li, K Fu, J Gan, Z Sang, W Zhang, G Yang, L Tian, T Li, Q Yang, Q Sun, L Li, Y Rong, H Guan, C Zhao, X Ye, D |
| author_facet | Bi, B Xiao, X Zhang, H Gao, J Tao, M Niu, H Wang, Y Wang, Q Chen, C Sun, N Li, K Fu, J Gan, Z Sang, W Zhang, G Yang, L Tian, T Li, Q Yang, Q Sun, L Li, Y Rong, H Guan, C Zhao, X Ye, D |
| author_sort | Bi, B |
| collection | OXFORD |
| description | BACKGROUND: The relationship between recurrent major depression (MD) in women and suicidality is complex. We investigated the extent to which patients who suffered with various forms of suicidal symptomatology can be distinguished from those subjects without such symptoms. METHOD: We examined the clinical features of the worst episode in 1970 Han Chinese women with recurrent DSM-IV MD between the ages of 30 and 60 years from across China. Student's t tests, and logistic and multiple logistic regression models were used to determine the association between suicidality and other clinical features of MD. RESULTS: Suicidal symptomatology is significantly associated with a more severe form of MD, as indexed by both the number of episodes and number of MD symptoms. Patients reporting suicidal thoughts, plans or attempts experienced a significantly greater number of stressful life events. The depressive symptom most strongly associated with lifetime suicide attempt was feelings of worthlessness (odds ratio 4.25, 95% confidence interval 2.9-6.3). Excessive guilt, diminished concentration and impaired decision-making were also significantly associated with a suicide attempt. CONCLUSIONS: This study contributes to the existing literature on risk factors for suicidal symptomatology in depressed women. Identifying specific depressive symptoms and co-morbid psychiatric disorders may help improve the clinical assessment of suicide risk in depressed patients. These findings could be helpful in identifying those who need more intense treatment strategies in order to prevent suicide. |
| first_indexed | 2024-03-06T19:41:06Z |
| format | Journal article |
| id | oxford-uuid:20af6b1d-3073-4cae-b6e0-697f24aa6d5b |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T19:41:06Z |
| publishDate | 2012 |
| record_format | dspace |
| spelling | oxford-uuid:20af6b1d-3073-4cae-b6e0-697f24aa6d5b2022-03-26T11:29:02ZA comparison of the clinical characteristics of women with recurrent major depression with and without suicidal symptomatology.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:20af6b1d-3073-4cae-b6e0-697f24aa6d5bEnglishSymplectic Elements at Oxford2012Bi, BXiao, XZhang, HGao, JTao, MNiu, HWang, YWang, QChen, CSun, NLi, KFu, JGan, ZSang, WZhang, GYang, LTian, TLi, QYang, QSun, LLi, YRong, HGuan, CZhao, XYe, D BACKGROUND: The relationship between recurrent major depression (MD) in women and suicidality is complex. We investigated the extent to which patients who suffered with various forms of suicidal symptomatology can be distinguished from those subjects without such symptoms. METHOD: We examined the clinical features of the worst episode in 1970 Han Chinese women with recurrent DSM-IV MD between the ages of 30 and 60 years from across China. Student's t tests, and logistic and multiple logistic regression models were used to determine the association between suicidality and other clinical features of MD. RESULTS: Suicidal symptomatology is significantly associated with a more severe form of MD, as indexed by both the number of episodes and number of MD symptoms. Patients reporting suicidal thoughts, plans or attempts experienced a significantly greater number of stressful life events. The depressive symptom most strongly associated with lifetime suicide attempt was feelings of worthlessness (odds ratio 4.25, 95% confidence interval 2.9-6.3). Excessive guilt, diminished concentration and impaired decision-making were also significantly associated with a suicide attempt. CONCLUSIONS: This study contributes to the existing literature on risk factors for suicidal symptomatology in depressed women. Identifying specific depressive symptoms and co-morbid psychiatric disorders may help improve the clinical assessment of suicide risk in depressed patients. These findings could be helpful in identifying those who need more intense treatment strategies in order to prevent suicide. |
| spellingShingle | Bi, B Xiao, X Zhang, H Gao, J Tao, M Niu, H Wang, Y Wang, Q Chen, C Sun, N Li, K Fu, J Gan, Z Sang, W Zhang, G Yang, L Tian, T Li, Q Yang, Q Sun, L Li, Y Rong, H Guan, C Zhao, X Ye, D A comparison of the clinical characteristics of women with recurrent major depression with and without suicidal symptomatology. |
| title | A comparison of the clinical characteristics of women with recurrent major depression with and without suicidal symptomatology. |
| title_full | A comparison of the clinical characteristics of women with recurrent major depression with and without suicidal symptomatology. |
| title_fullStr | A comparison of the clinical characteristics of women with recurrent major depression with and without suicidal symptomatology. |
| title_full_unstemmed | A comparison of the clinical characteristics of women with recurrent major depression with and without suicidal symptomatology. |
| title_short | A comparison of the clinical characteristics of women with recurrent major depression with and without suicidal symptomatology. |
| title_sort | comparison of the clinical characteristics of women with recurrent major depression with and without suicidal symptomatology |
| work_keys_str_mv | AT bib acomparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT xiaox acomparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT zhangh acomparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT gaoj acomparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT taom acomparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT niuh acomparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT wangy acomparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT wangq acomparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT chenc acomparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT sunn acomparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT lik acomparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT fuj acomparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT ganz acomparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT sangw acomparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT zhangg acomparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT yangl acomparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT tiant acomparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT liq acomparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT yangq acomparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT sunl acomparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT liy acomparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT rongh acomparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT guanc acomparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT zhaox acomparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT yed acomparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT bib comparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT xiaox comparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT zhangh comparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT gaoj comparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT taom comparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT niuh comparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT wangy comparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT wangq comparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT chenc comparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT sunn comparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT lik comparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT fuj comparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT ganz comparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT sangw comparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT zhangg comparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT yangl comparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT tiant comparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT liq comparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT yangq comparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT sunl comparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT liy comparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT rongh comparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT guanc comparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT zhaox comparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology AT yed comparisonoftheclinicalcharacteristicsofwomenwithrecurrentmajordepressionwithandwithoutsuicidalsymptomatology |