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Clinical predictors of suicide in patients with major affective disorders: a controlled prospective study. Am J Psychiatry 1987 Jan;144(1):35-40

Date

01/01/1987

Pubmed ID

3799837

DOI

10.1176/ajp.144.1.35

Scopus ID

2-s2.0-0023262414 (requires institutional sign-in at Scopus site)   335 Citations

Abstract

The authors report prospective uniform clinical data differentiating 25 patients who committed suicide from 929 patients who did not in a group of 954 patients with major affective disorder followed for an average of 4 years in the Collaborative Program on the Psychobiology of Depression. Eight (32%) of the suicides occurred within 6 months and 13 (52%) within 1 year of entry into the study. Hopelessness, loss of pleasure or interest, and mood cycling during the index episode differentiated the suicide group. Diagnostic subcategories, suicidal ideation at entry to the study, suicide attempts during current or past episodes, and medical severity of prior attempts did not differentiate the suicide group.

Author List

Fawcett J, Scheftner W, Clark D, Hedeker D, Gibbons R, Coryell W

Author

David C. Clark PhD Assistant Dean, Professor in the Research Office department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adult
Age Factors
Depressive Disorder
Diagnosis, Differential
Female
Follow-Up Studies
Humans
Male
Prospective Studies
Psychotic Disorders
Risk
Suicide
Suicide, Attempted