Age-related differences in suicidality between young people and older adults with depression: data from a nationwide depression cohort study in Korea (the CRESCEND study)
Abstract This study compared young people and older adults with depression to identify differences in suicidality between these groups. A total of 1003 patients with moderate to severe depression (Hamilton Depression Rating Scale [HDRS] score ≥14) were recruited from a national sample of 18 hospital...
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| Veröffentlicht in: | Comprehensive psychiatry 2015-01, Vol.56, p.85-92 |
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| creator | Seo, Ho-Jun Song, Hoo Rim Yim, Hyeon-Woo Kim, Jung-Bum Lee, Min-Soo Kim, Jae-Min Jun, Tae-Youn |
| description | Abstract This study compared young people and older adults with depression to identify differences in suicidality between these groups. A total of 1003 patients with moderate to severe depression (Hamilton Depression Rating Scale [HDRS] score ≥14) were recruited from a national sample of 18 hospitals. Of the patients included in this study, 103 (10.3%) were placed in the younger group (age |
| doi_str_mv | 10.1016/j.comppsych.2014.10.003 |
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A total of 1003 patients with moderate to severe depression (Hamilton Depression Rating Scale [HDRS] score ≥14) were recruited from a national sample of 18 hospitals. Of the patients included in this study, 103 (10.3%) were placed in the younger group (age <25 years) and 900 (89.7%) were placed in the older group (age ≥25 years). Suicide-related variables and predictive factors associated with significant suicidal ideation were compared between the two groups. Regardless of the severity of depression, subjects in the younger group were more likely than were those in the older group to report significant suicidal ideation (scores ≥6 on the Beck Scale for Suicide Ideation [SSI-B], 79.6 vs. 53.7%, respectively; p < 0.001), have had a suicide attempt at the current episode (4.9 vs. 1.6%, respectively; p = 0.037), and have a history of suicide attempts (43.7 vs. 19.4%, respectively; p < 0.001). Logistic regression models revealed that, in contrast to the predictive factors in the older group, subjects in the younger group were more affected by their history of suicide attempts (OR [95% CI]: 12.4, [1.5–99.1]; p = 0.018) and depressive episodes (OR [95% CI]: 13.0, [1.6–104.0]; p = 0.016). Also in contrast to the older group, an increase in HDRS score was not identified as a possible precipitating factor of significant suicidal ideation in younger subjects. The present findings demonstrate that suicidality in depressed young people was more severe than in older adults, but that suicidality was not correlated with the severity of depression. These data suggest that close attention should be paid to young people even in mild or moderate depression.</description><identifier>ISSN: 0010-440X</identifier><identifier>EISSN: 1532-8384</identifier><identifier>DOI: 10.1016/j.comppsych.2014.10.003</identifier><identifier>PMID: 25459419</identifier><identifier>CODEN: COPYAV</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aging - psychology ; Cohort Studies ; Depressive Disorder - complications ; Depressive Disorder - psychology ; Diagnostic and Statistical Manual of Mental Disorders ; Female ; Humans ; Male ; Mental depression ; Middle Aged ; Psychiatric Status Rating Scales ; Psychiatry ; Republic of Korea ; Self destructive behavior ; Socioeconomic Factors ; Studies ; Suicidal Ideation ; Suicide, Attempted ; Suicides & suicide attempts ; Teenagers ; Young Adult</subject><ispartof>Comprehensive psychiatry, 2015-01, Vol.56, p.85-92</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>Copyright © 2014 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Jan 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c454t-84cc3ab67a4a529b3c7fe74c48cd173acc8a1f31f32dabe9451536fa63ff6de3</citedby><cites>FETCH-LOGICAL-c454t-84cc3ab67a4a529b3c7fe74c48cd173acc8a1f31f32dabe9451536fa63ff6de3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1633077621?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25459419$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Seo, Ho-Jun</creatorcontrib><creatorcontrib>Song, Hoo Rim</creatorcontrib><creatorcontrib>Yim, Hyeon-Woo</creatorcontrib><creatorcontrib>Kim, Jung-Bum</creatorcontrib><creatorcontrib>Lee, Min-Soo</creatorcontrib><creatorcontrib>Kim, Jae-Min</creatorcontrib><creatorcontrib>Jun, Tae-Youn</creatorcontrib><title>Age-related differences in suicidality between young people and older adults with depression: data from a nationwide depression cohort study in Korea (the CRESCEND study)</title><title>Comprehensive psychiatry</title><addtitle>Compr Psychiatry</addtitle><description>Abstract This study compared young people and older adults with depression to identify differences in suicidality between these groups. A total of 1003 patients with moderate to severe depression (Hamilton Depression Rating Scale [HDRS] score ≥14) were recruited from a national sample of 18 hospitals. Of the patients included in this study, 103 (10.3%) were placed in the younger group (age <25 years) and 900 (89.7%) were placed in the older group (age ≥25 years). Suicide-related variables and predictive factors associated with significant suicidal ideation were compared between the two groups. Regardless of the severity of depression, subjects in the younger group were more likely than were those in the older group to report significant suicidal ideation (scores ≥6 on the Beck Scale for Suicide Ideation [SSI-B], 79.6 vs. 53.7%, respectively; p < 0.001), have had a suicide attempt at the current episode (4.9 vs. 1.6%, respectively; p = 0.037), and have a history of suicide attempts (43.7 vs. 19.4%, respectively; p < 0.001). Logistic regression models revealed that, in contrast to the predictive factors in the older group, subjects in the younger group were more affected by their history of suicide attempts (OR [95% CI]: 12.4, [1.5–99.1]; p = 0.018) and depressive episodes (OR [95% CI]: 13.0, [1.6–104.0]; p = 0.016). Also in contrast to the older group, an increase in HDRS score was not identified as a possible precipitating factor of significant suicidal ideation in younger subjects. The present findings demonstrate that suicidality in depressed young people was more severe than in older adults, but that suicidality was not correlated with the severity of depression. These data suggest that close attention should be paid to young people even in mild or moderate depression.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aging - psychology</subject><subject>Cohort Studies</subject><subject>Depressive Disorder - complications</subject><subject>Depressive Disorder - psychology</subject><subject>Diagnostic and Statistical Manual of Mental Disorders</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychiatry</subject><subject>Republic of Korea</subject><subject>Self destructive behavior</subject><subject>Socioeconomic Factors</subject><subject>Studies</subject><subject>Suicidal Ideation</subject><subject>Suicide, Attempted</subject><subject>Suicides & suicide attempts</subject><subject>Teenagers</subject><subject>Young Adult</subject><issn>0010-440X</issn><issn>1532-8384</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkk1v1DAQhi0EotvCXwBLXMohix07XxwqrZblQ1Qg0R64WY496XrJ2sF2WOUv9VfiaEtBPSFZsjTzzLz2vIPQS0qWlNDyzW6p3H4YwqS2y5xQnqJLQtgjtKAFy7Oa1fwxWhBCScY5-X6CTkPYEULquuZP0Ule8KLhtFmg29UNZB56GUFjbboOPFgFARuLw2iU0bI3ccItxAOAxZMb7Q0ewA09YGk1dr0Gj6Ue-xjwwcQt1jB4CME4-xZrGSXuvNtjia2MKXYwGv5BsHJb5yMOcdTTLPrZeZD4PG4Br79trtabL--OydfP0JNO9gGe391n6Pr95nr9Mbv8-uHTenWZKV7wmNVcKSbbspJcFnnTMlV1UHHFa6VpxaRStaQdSyfXsoWGF2lkZSdL1nWlBnaGzo9tB-9-jhCi2JugoO-lBTcGQUtWpFFXvEzoqwfozo3epsfNFCNVVeY0UdWRUt6F4KETgzd76SdBiZjdFDtx76aY3ZwTSSJVvrjrP7Z70Pd1f-xLwOoIQJrHLwNeBGVm_7TxoKLQzvyHyMWDHqo31ijZ_4AJwt8fiZALIq7mpZp3inJC8oZx9hs5rs0l</recordid><startdate>20150101</startdate><enddate>20150101</enddate><creator>Seo, Ho-Jun</creator><creator>Song, Hoo Rim</creator><creator>Yim, Hyeon-Woo</creator><creator>Kim, Jung-Bum</creator><creator>Lee, Min-Soo</creator><creator>Kim, Jae-Min</creator><creator>Jun, Tae-Youn</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20150101</creationdate><title>Age-related differences in suicidality between young people and older adults with depression: data from a nationwide depression cohort study in Korea (the CRESCEND study)</title><author>Seo, Ho-Jun ; 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A total of 1003 patients with moderate to severe depression (Hamilton Depression Rating Scale [HDRS] score ≥14) were recruited from a national sample of 18 hospitals. Of the patients included in this study, 103 (10.3%) were placed in the younger group (age <25 years) and 900 (89.7%) were placed in the older group (age ≥25 years). Suicide-related variables and predictive factors associated with significant suicidal ideation were compared between the two groups. Regardless of the severity of depression, subjects in the younger group were more likely than were those in the older group to report significant suicidal ideation (scores ≥6 on the Beck Scale for Suicide Ideation [SSI-B], 79.6 vs. 53.7%, respectively; p < 0.001), have had a suicide attempt at the current episode (4.9 vs. 1.6%, respectively; p = 0.037), and have a history of suicide attempts (43.7 vs. 19.4%, respectively; p < 0.001). Logistic regression models revealed that, in contrast to the predictive factors in the older group, subjects in the younger group were more affected by their history of suicide attempts (OR [95% CI]: 12.4, [1.5–99.1]; p = 0.018) and depressive episodes (OR [95% CI]: 13.0, [1.6–104.0]; p = 0.016). Also in contrast to the older group, an increase in HDRS score was not identified as a possible precipitating factor of significant suicidal ideation in younger subjects. The present findings demonstrate that suicidality in depressed young people was more severe than in older adults, but that suicidality was not correlated with the severity of depression. These data suggest that close attention should be paid to young people even in mild or moderate depression.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25459419</pmid><doi>10.1016/j.comppsych.2014.10.003</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Aged Aging - psychology Cohort Studies Depressive Disorder - complications Depressive Disorder - psychology Diagnostic and Statistical Manual of Mental Disorders Female Humans Male Mental depression Middle Aged Psychiatric Status Rating Scales Psychiatry Republic of Korea Self destructive behavior Socioeconomic Factors Studies Suicidal Ideation Suicide, Attempted Suicides & suicide attempts Teenagers Young Adult |
| title | Age-related differences in suicidality between young people and older adults with depression: data from a nationwide depression cohort study in Korea (the CRESCEND study) |
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