@article{ref1,
title="Presence of suicidality as a prognostic indicator",
journal="Journal of postgraduate medicine",
year="2004",
author="Malhotra, K. and Schwartz, T. and Hameed, U.",
volume="50",
number="3",
pages="185-187; discussion 187",
abstract="BACKGROUND: Suicidal symptoms in depression are often thought to predict a higher severity of illness and a worse prognosis. AIMS: To determine if suicidal ideation at the time of treatment for major depression can predict response to antidepressant medication in primary care. SETTINGS AND DESIGN: A retrospective analysis of subjects receiving anti-depressant drugs in a primary care settingMETHODS AND MATERIAL: Nine depressed patients (14%) who acknowledged suicidality on the PHQ-9 depression scale were followed up for and compared to a group of 54 (86%) depressed patients (controls) who did not have suicidal thoughts for four months. All were given treatment with antidepressants and followed with a disease management protocol where the PHQ-9 was used as a systematic outcome measure. STATISTICAL ANALYSIS: Descriptive measures and t-tests were utilized to show statistical significance. RESULTS: There were no statistical differences in remission from depressive symptoms based on the PHQ-9 scale after antidepressant treatment, between patients with suicidal thoughts (56%) and those without (44%). CONCLUSION: The presence of suicidality as a depressive symptom did not predict poorer clinical outcome when treating depression in the primary care setting in the patients studied.<p /><p>Language: en</p>",
language="en",
issn="0022-3859",
doi="",
url="http://dx.doi.org/"
}