RT Journal Article
T1 Suicidality in primary care patients who present with sadness and anhedonia: a prospective European study.
A1 Moreno-Küstner, Berta
A1 Jones, Rebeca
A1 Švab, Igor
A1 Maaroos, Heidi
A1 Xavier, Miguel
A1 Geerlings, Mirjam
A1 Torres-González, 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
K1 Anhedonia
K1 Cohort
K1 Depression
K1 Primary care
K1 Risk
K1 Suicidality
AB 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. Cohort study of 2,599 unselected primary care attenders in six European countries followed up at 6 and 12 months. 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  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.
YR 2016
FD 2016-04-06
LK http://hdl.handle.net/10668/9976
UL http://hdl.handle.net/10668/9976
LA en
DS RISalud
RD Apr 19, 2025