Τίτλος:
Guilt delusional beliefs increase the risk of suicidal attempt in elderly unipolar psychotic depressives
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
The aim of this study was to investigate the differential effect of various delusion categories, namely, guilt, paranoid, impending disaster, and somatic on suicidal attempts in elderly patients experiencing unipolar psychotic major depression (PMD), because the evidence on this is scarce. The sample consisted of 65 consecutively admitted patients 60 years or older, experiencing PMD, and assessed by means of Structured Clinical Interview for DSM-4 (Patient Edition), Hamilton Depression Rating Scale, Mini-Mental Status Examination (MMSE), and by a physical impairment rating scale. Patients with guilt delusional beliefs had 5.31 times higher odds (95% confidence interval, 1.37-25.40) of a suicidal attempt than the patients without guilt delusional beliefs, controlling for sex, age, prior history of suicide attempt, MMSE, and hallucinations. In addition, 17 PMD patients with lifetime suicidal attempt compared with 48 PMD patients without lifetime suicidal attempt presented only higher age of disorder onset (p = 0.008). Of the four categories of delusions assessed, only guilt delusions were associated with an increased risk for suicidal attempt. © 2018 Wolters Kluwer Health, Inc. All rights reserved.
Συγγραφείς:
Gournellis, R.
Efstathiou, V.
Yotsidi, V.
Tournikioti, K.
Papazahos, C.
Ferentinos, P.
Douzenis, A.
Michopoulos, I.
Περιοδικό:
Journal of Nervous and Mental Disease
Εκδότης:
Lippincott Williams and Wilkins
Λέξεις-κλειδιά:
adult; aged; Article; delusion; depressive psychosis; female; geriatric disorder; guilt; hallucination; Hamilton Depression Rating Scale; health belief; human; major clinical study; major depression; male; middle aged; Mini Mental State Examination; paranoia; Physical Impairment Rating Scale; rating scale; risk; Structured Clinical Interview for DSM Disorders; suicide attempt; age; delusion; depression; psychological rating scale; psychology; risk factor; suicide attempt, Age Factors; Aged; Delusions; Depressive Disorder; Female; Guilt; Humans; Male; Middle Aged; Psychiatric Status Rating Scales; Risk Factors; Suicide, Attempted
DOI:
10.1097/NMD.0000000000000913
