Suicidal ideation in acutely medically ill elderly inpatients: prevalence, correlates and longitudinal stability

Shah, Ajit; Hoxey, Katharina; Mayadunne, Vidurath

doi:10.1002/(sici)1099-1166(200002)15:2<162::aid-gps94>3.0.co;2-t

Cited by 20 publications

(27 citation statements)

References 36 publications

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“…The risk of suicide has been noted to be higher among patients with physical illnesses than the general population with a prevalence estimate of 22 -60%. 5,6 There is a bidirectional association between depression and diabetes. The presence of diabetes doubles the odds of co-morbid depressive disorder.…”

Section: Introductionsupporting

confidence: 84%

Factors associated with depression and suicide among patients with diabetes mellitus and essential hypertension in a Nigerian teaching hospital

Mn¹,

Uwakwe²,

Ahanotu³

et al. 2013

Af Hlth Sci

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Background: Diabetes mellitus (DM) and essential hypertension are chronic medical conditions that place a lot of burden on patients. The presence of depression and suicidal behaviour may worsen the prognosis. Objective: To assess the prevalence of depression and suicidal behaviour in subjects with diabetes mellitus and essential hypertension and also determine the socio-demographic correlates. Methods: Major depressive episode and suicidality modules of Mini-International Neuropsychiatric Interview were used to assess depression and suicidal behaviour respectively. Results: The prevalence of depression for the subjects with DM was 27.8% and 26.7% for essential hypertension. The subjects with DM had prevalence of 6.3% for suicidal behaviour while essential hypertension had 7.8%. Depression was higher in subjects with DM if they were not married or had no education while the subjects with essential hypertension were more likely to have depression if they were not married, had no education or not employed. Suicidal behaviour was higher in subjects with DM if they had no education while in essential hypertension suicidal behaviour was higher in females, those not married and those not educated. Conclusion: Depression and suicidal behaviour occur with DM and essential hypertension.

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Section: Introductionsupporting

confidence: 84%

Factors associated with depression and suicide among patients with diabetes mellitus and essential hypertension in a Nigerian teaching hospital

Mn¹,

Uwakwe²,

Ahanotu³

et al. 2013

Af Hlth Sci

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“…[117][118][119][120][121] It has not been validated in patients with significant cognitive impairment and has only rarely been used in this population. 122,123 The scale is in the public domain (see, for example, Table 3 located in Supplementary Material), but for use in large scale research projects, purchase of the scale from the publisher is required. 124 It has been validated and used in many countries in all parts of the world.…”

Section: Depression In Non-pd Patientsmentioning

confidence: 99%

Depression rating scales in Parkinson's disease: Critique and recommendations

Schrag¹,

Barone²,

Brown³

et al. 2007

Movement Disorders

585

348

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Depression is a common comorbid condition in Parkinson's disease (PD) and a major contributor to poor quality of life and disability. However, depression can be difficult to assess in patients with PD due to overlapping symptoms and difficulties in the assessment of depression in cognitively impaired patients. As several rating scales have been used to assess depression in PD (dPD), the Movement Disorder Society commissioned a task force to assess their clinimetric properties and make clinical recommendations regarding their use. A systematic literature review was conducted to explore the use of depression scales in PD and determine which scales should be selected for this review. The scales reviewed were the Beck Depression Inventory (BDI), Hamilton Depression Scale (Ham-D), Hospital Anxiety and Depression Scale (HADS), Zung Self-Rating Depression Scale (SDS), Geriatric Depression Scale (GDS), Montgomery-Asberg Depression Rating Scale (MADRS), Unified Parkinson's Disease Rating Scale (UPDRS) Part I, Cornell Scale for the Assessment of Depression in Dementia (CSDD), and the Center for Epidemiologic Studies Depression Scale (CES-D). Seven clinical researchers with clinical and research experience in the assessment of dPD were assigned to review the scales using a structured format. The most appropriate scale is dependent on the clinical or research goal. However, observer-rated scales are preferred if the study or clinical situation permits. For screening purposes, the HAM-D, BDI, HADS, MADRS, and GDS are valid in dPD. The CES-D and CSDD are alternative instruments that need validation in dPD. For measurement of severity of depressive symptoms, the Ham-D, MADRS, BDI, and SDS scales are recommended. Further studies are needed to validate the CSDD, which could be particularly useful for the assessment of severity of dPD in patients with comorbid dementia. To account for overlapping motor and nonmotor symptoms of depression, adjusted instrument cutoff scores may be needed for dPD, and scales to assess severity of motor symptoms (e.g., UPDRS) should also be included to help adjust for confounding factors. The HADS and the GDS include limited motor symptom assessment and may, therefore, be most useful in rating depression severity across a range of PD severity; however, these scales appear insensitive in severe depression. The complex and time-consuming task of developing a new scale to measure depression specifically for patients with PD is currently not warranted.

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“…This study was part of larger study of the prevalence, correlates and longitudinal stability of suicidal ideation among medically ill elderly inpatients (Shah et al, 2000). A summary of the original study and additional aspects of the current study is given below.…”

Section: Methodsmentioning

confidence: 99%

“…Moreover, there are only a few longitudinal follow-up studies of depression in acutely medically ill elderly inpatients (Finch et al, 1991;Rapp et al, 1991;Koenig et al, 1992a;Evans, 1993;Fenton et al, 1997). The present longitudinal study of suicidal ideation in acutely medically ill elderly inpatients (Shah et al, 2000) also allowed examination of the prevalence, correlates and longitudinal stability of depression in acutely medically ill elderly inpatients.…”

Section: Introductionmentioning

confidence: 99%

Depression in acutely medically ill elderly inpatients: prevalence, correlates and longitudinal stability

Shah

Hoxey

2001

Int J Methods Psych Res

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Depressive disorders are common among acutely medically ill elderly in-patients, but treatment and prognosis are poor. Due to the current demographic changes and alterations in the working practices of the geriatricians in the UK a study of prevalence, correlates and longitudinal stability of depression in medically ill elderly inpatients was undertaken. All consecutive acute admissions over a five-month period, without significant cognitive impairment, to a geriatric medicine unit were screened for depression with the Brief Assessment Schedule (BAS). Potential correlates of depression were measured by the Beck Scale for Suicidal Ideation scale (BSSI), the London Handicap Scale (LHS), the Barthel Index (BI) and the severity of physical illness (IPI). These patients were followed-up at a six-to-eight month interval and all instruments were administered again.The prevalence of depression in acutely medically ill elderly inpatients was 33%. Depression was associated with previous deliberate self-harm, severity of physical illness, higher BSSI scores, prescription of a psychotropic drugs, including antidepressants. Almost half of the depressed cases either had died or persisted as being depressed at follow-up.There is scope to improve treatment of depression in this setting. The efficacy of treating physical illness in improving depression requires evaluation.

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Suicidal ideation in acutely medically ill elderly inpatients: prevalence, correlates and longitudinal stability

Cited by 20 publications

References 36 publications

Factors associated with depression and suicide among patients with diabetes mellitus and essential hypertension in a Nigerian teaching hospital

Factors associated with depression and suicide among patients with diabetes mellitus and essential hypertension in a Nigerian teaching hospital

Depression rating scales in Parkinson's disease: Critique and recommendations

Depression in acutely medically ill elderly inpatients: prevalence, correlates and longitudinal stability

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