Long-term suicide risk of depression in the Lundby cohort 1947-1997 -: severity and gender
Long-term suicide risk of depression in the Lundby cohort 1947-1997 -: severity and gender
复制标题
DOI：
10.1111/j.1600-0447.2007.01136.x
复制
发表时间：
2008-03-01
影响因子：
6.7
通讯作者：
Nettelbladt, P.
中科院分区：
文献类型：
--
作者：
Bradvik, L.;Mattisson, C.;Nettelbladt, P.
目的：在社区样本中按严重程度和性别评估抑郁症的长期自杀风险。方法：Lundby研究是一项前瞻性的纵向队列研究，研究对象为3563名受试者。在1947-1997年间，根据Lundby诊断系统登记了503名受试者的中度或重度抑郁症。根据DSM-IV诊断为重度抑郁障碍(MDD)293人，未明确诊断抑郁障碍(DDNOS)131人。结果：总体长期自杀风险为5.6%~6.8%。中度和重度Lundby抑郁症的长期自杀风险分别为3.1%和11.4%，中度和重度MDD+DDNOS的长期自杀风险分别为3.7%和13.8%，中度MDD和重度MDD的长期自杀风险分别为3.1%和13.7%。严重程度和男性性别是自杀的危险因素。结论：重度抑郁症的男性有较高的长期自杀风险，约为20%。
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%.