The development of a brief screening instrument for depression and suicidal ideation for elderly: the Depression and Suicide Screen

Fujisawa, Daisuke; Tanaka, Eriko; Sakamoto, Shinji; Neichi, Keiko; Nakagawa, Atsuo; Ono, Yutaka

doi:10.1111/j.1440-1819.2005.01429.x

Cited by 42 publications

(47 citation statements)

References 14 publications

(10 reference statements)

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“…Another population-based study in Japan targeting people over the age of 64 reported that prevalence of those who scored more than 5 in GDS-15 was 23.8%, which is compatible to our data [26]. …”

Section: Discussionsupporting

confidence: 92%

Retirement and mental health: does social participation mitigate the association? A fixed-effects longitudinal analysis

Shiba

Kondo

et al. 2017

BMC Public Health

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BackgroundEmpirical evidence investigating heterogeneous impact of retirement on mental health depending on social backgrounds is lacking, especially among older adults.MethodsWe examined the impact of changes in working status on changes in mental health using Japanese community-dwelling adults aged ≥65 years participating in the Japan Gerontological Evaluation Study between 2010 and 2013 (N = 62,438). Between-waves changes in working status (“Kept working”, “Retired”, “Started work”, or “Continuously retired”) were used to predict changes in depressive symptoms measured by the Geriatric Depression Scale. First-difference regression models were stratified by gender, controlling for changes in time-varying confounding actors including equivalised household income, marital status, instrumental activities of daily living, incidence of serious illnesses and family caregiving. We then examined the interactions between changes in working status and occupational class, changes in marital status, and post-retirement social participation.ResultsParticipants who transitioned to retirement reported significantly increased depressive symptoms (β = 0.33, 95% CI: 0.21–0.45 for men, and β = 0.29, 95% CI: 0.13–0.45 for women) compared to those who kept working. Men who were continuously retired reported increased depressive symptoms (β = 0.13, 95% CI: 0.05–0.20), whereas males who started work reported decreased depressive symptoms (β = −0.20, 95% CI: -0.38–-0.02). Men from lower occupational class (compared to men from higher class) reported more increase in depressive symptoms when continuously retired (β = −0.16, 95% CI: -0.25–-0.08). Those reporting recreational social participation after retirement appeared to be less influenced by transition to retirement.ConclusionsRetirement may increase depressive symptoms among Japanese older adults, particularly men from lower occupational class backgrounds. Encouraging recreational social participation may mitigate the adverse effects of retirement on mental health of Japanese older men.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-017-4427-0) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 92%

Retirement and mental health: does social participation mitigate the association? A fixed-effects longitudinal analysis

Shiba

Kondo

et al. 2017

BMC Public Health

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“…Positive predictive values for detecting suicide ideation, although relatively low, were consistent with those reported in the literature about screening for late-life suicide ideation. 44,45 The study group was predominantly white and relatively well-educated for an older cohort; findings may not generalize to other groups. The internal consistency of the GDS-SI was acceptable and may have been limited somewhat by the small number of items in this subscale.…”

Section: Discussionmentioning

confidence: 97%

Screening for Suicide Ideation among Older Primary Care Patients

Heisel

Duberstein

Lyness

et al. 2010

The Journal of the American Board of Family Medicine

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Objectives Older adults have high rates of suicide and typically seek care in primary medical practices. Older adults often do not directly or spontaneously report thoughts of suicide, which can impede suicide prevention efforts. Therefore, the use of additional approaches to suicide risk detection is needed, including the use of screening tools. The objective of this study was to assess whether brief screens for depression have acceptable operating characteristics in identifying suicide ideation among older primary care patients and to examine potential sex differences in the screen’s accuracy. Methods We administered the 15-item Geriatric Depression Scale (GDS), which includes a 5-item GDS subscale (GDS-SI) designed to screen for suicide ideation, to a cross-sectional cohort of 626 primary care patients (235 men, 391 women) 65 years of age or older in the Northeastern United States. We assessed presence of suicide ideation with items from the Hamilton Rating Scale for Depression and the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Results Patients expressing suicide ideation (n = 69) scored higher on the GDS and GDS-SI than those who did not (n = 557). A GDS cut score of 4 maximized sensitivity (0.754) and specificity (0.815), producing an area under the curve of 0.844 (P < .001) and positive and negative predictive values of 0.335 and 0.964, respectively. Optimal cut scores were 5 for men and 3 for women. A GDS-SI cut score of 1 was optimal for the total sample and for both men and women. Conclusions The GDS and GDS-SI accurately identify older patients with suicide ideation. Research is needed to examine their acceptability and barriers to routine use in primary care.

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“…Fujisawa et al . () reported 23.8% depressed older people defined with the GDS‐15 in a provincial community (146 men and 236 women). Aihara et al .…”

Section: Discussionmentioning

confidence: 99%

Association between depressive symptoms and metabolic syndrome in Japanese community‐dwelling older people: a cross‐sectional analysis from the baseline results of the Fujiwara‐kyo prospective cohort study

Morikawa

Okamoto

Kiuchi

et al. 2013

Int J Geriat Psychiatry

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The development of a brief screening instrument for depression and suicidal ideation for elderly: the Depression and Suicide Screen

Cited by 42 publications

References 14 publications

Retirement and mental health: does social participation mitigate the association? A fixed-effects longitudinal analysis

Retirement and mental health: does social participation mitigate the association? A fixed-effects longitudinal analysis

Screening for Suicide Ideation among Older Primary Care Patients

Association between depressive symptoms and metabolic syndrome in Japanese community‐dwelling older people: a cross‐sectional analysis from the baseline results of the Fujiwara‐kyo prospective cohort study

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