TY - JOUR PY - 2003// TI - Comorbid personality disorder predicts suicide after major depression: a 10-year follow-up JO - Acta psychiatrica Scandinavica A1 - Hansen, P. E. B. A1 - Wang, A. G. A1 - Stage, K. B. A1 - Kragh-Sorensen, P. A1 - Danish University Antidepressant Group, SP - 436 EP - 440 VL - 107 IS - 6 N2 - OBJECTIVE: To identify psychopathological predictors for suicide in a population of major depressed Diagnostic Statistical Manual-III (DSM-III) in-patients. METHOD: A total of 210 previous participants in multicentre antidepressant drug trials, carried out in a randomized double-blind design, were followed prospectively through a maximum of 10 years. Patients with a drug or alcohol abuse were excluded. The association between suicide and the pretreatment psychopathological profile was analysed using survival statistics. RESULTS: The suicide rate for non-melancholic depressed patients was significantly higher than for melancholic depressed patients. Comorbid personality disorder was independently associated with an increased suicide rate [relative hazard 3.41(CI: 1.15-10.10)]. CONCLUSION: The study indicates that the non-melancholic aspect of depression, and especially comorbid personality disorder, is associated with an increased suicidal vulnerability.
Language: en
LA - en SN - 0001-690X UR - http://dx.doi.org/ ID - ref1 ER -