Long‐term suicide risk of depression in the Lundby cohort 1947–1997 – severity and gender

Louise Brådvik · Cecilia Mattisson · Mats Bogren · Per Nettelbladt

165 citations0/0 files storedActa Psychiatrica Scandinavica

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Suicide and Self-Harm Studies Mental Health Treatment and Access Treatment of Major Depression

Abstract

OBJECTIVE: The long-term suicide risk of depression was evaluated in a community sample by severity and gender. METHOD: The Lundby study is a prospective, longitudinal cohort study on a population consisting of 3563 subjects. In 1947-1997 medium or severe depression according to the Lundby diagnostic system were registered in 503 subjects. The same subjects were also diagnosed according to DSM-IV showing major depressive disorder (MDD) in 293 and depressive disorder not otherwise specified (DDNOS) in 131 subjects. RESULTS: The overall long-term suicide risk varied from 5.6% to 6.8%. The long-term suicide risk was 3.1% for medium and 11.4% for severe 'Lundby depression', 3.7% for medium and 13.8% for severe MDD + DDNOS, 3.1% for medium and 13.7% for severe MDD. Severity and male sex were risk factors for suicide. CONCLUSION: Males with a severe depression showed a high long-term risk for suicide, around 20%.

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References

1998The Gender Paradox in Suicide 1990Time-related predictors of suicide in major affective disorder 2000Affective Disorders and Suicide Risk: A Reexamination 1970Suicide and Primary Affective Disorders 1998Lifetime risk of suicide for affective disorder, alcoholism and schizophrenia 1977CONDITIONS PREDISPOSING TO SUICIDE 1991The Prediction of Suicide 1956Individual traits and morbidity in a Swedish rural population.

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